[当救生员引发恐惧：ICD植入后的焦虑]

Implantable cardioverter-defibrillators (ICDs) improve survival in patients at risk of life-threatening ventricular arrhythmias. Psychological distress following ICD implantation, however, is often underestimated, although it is common, clinically relevant, and may adversely affect quality of life and prognosis. Meta-analyses report prevalence rates of approximately 23% for anxiety disorders, 15% for depression, and 12% for posttraumatic stress disorder. Major risk factors include ICD shocks, particularly recurrent shocks, negative illness perceptions, poor device acceptance, type D perso