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- Emerson A Juan and Marc Pollack.
- Department of Emergency Medicine, York Hospital, York, Pennsylvania 17405, USA.
- J Emerg Med. 2010 Jan 1; 38 (1): 22-4.
AbstractPhantom shock is the sensation of shock in the absence of an actual implantable cardioverter-defibrillator (ICD) discharge. The ICD is now the first-line therapy for patients with ventricular tachycardia and fibrillation. There has been a significant increase in the number of patients with an ICD and patients presenting to the Emergency Department (ED) after a shock for evaluation and device interrogation. Phantom shock is more likely to be nocturnal in the first 6 months after implantation, and patients are more likely to be clinically depressed and have higher levels of anxiety. There is no specific treatment. We report 3 patients who presented to the ED with the sensation of ICD discharges, however, on device interrogation had no shocks and no dysrhythmias.Copyright 2010 Elsevier Inc. All rights reserved.
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