{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T07:44:17Z","timestamp":1764056657431,"version":"3.45.0"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T00:00:00Z","timestamp":1762992000000},"content-version":"vor","delay-in-days":13,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,10,31]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Persistent pain after implantable cardioverter-defibrillator (ICD) implantation is uncommon and often unexplained after ruling out device-related or musculoskeletal causes. Psychological factors can contribute to symptom persistence, complicating treatment. In rare cases, sham surgery has been considered to address psychogenic pain. This report explores its role in managing atypical post-ICD implantation pain.<\/jats:p>\n <\/jats:sec>\n \n Case summary<\/jats:title>\n A 76-year-old female with hypertrophic cardiomyopathy, atrial fibrillation, and a history of ICD implantation presented with persistent left parasternal pain radiating to the arm and back. Extensive evaluations ruled out device-related complications, musculoskeletal issues, and nerve injury. Psychological assessment suggested a psychogenic origin, likely reinforced by social factors. After ethics approval, sham surgery was performed, leading to complete symptom resolution and improved quality of life. This case highlights the potential role of psychological interventions in managing medically unexplained post-ICD implantation pain.<\/jats:p>\n <\/jats:sec>\n \n Discussion<\/jats:title>\n Post-ICD implantation pain ranges from routine discomfort to complications requiring intervention. Causes include device migration, musculoskeletal issues, nerve damage, infections, and psychological factors. Thorough evaluation is essential to rule out organic causes. Management includes non-steroidal anti-inflammatory drugs, physical therapy, neuropathic pain medications, and psychological support. This case highlights the role of psychogenic factors in persistent pain.<\/jats:p>\n <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaf562","type":"journal-article","created":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T13:06:49Z","timestamp":1762434409000},"source":"Crossref","is-referenced-by-count":0,"title":["Sham surgery as an alternative procedure for unexplained pain following transvenous implantable cardioverter defibrillator implantation: case report"],"prefix":"10.1093","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-9937-1336","authenticated-orcid":false,"given":"Roin","family":"Rekvava","sequence":"first","affiliation":[{"name":"Department of Arrhythmology, American Hospital Tbilisi , Tbilisi 0159 ,","place":["Georgia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-5977-5791","authenticated-orcid":false,"given":"Nino","family":"Javakhidze","sequence":"additional","affiliation":[{"name":"Department of Arrhythmology, American Hospital Tbilisi , Tbilisi 0159 ,","place":["Georgia"]},{"name":"Faculty of Medicine, David Tvildiani Medical University , Tbilisi 0159 ,","place":["Georgia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisabed","family":"Chikobava","sequence":"additional","affiliation":[{"name":"Department of Arrhythmology, American Hospital Tbilisi , Tbilisi 0159 ,","place":["Georgia"]},{"name":"Faculty of Medicine, American MD Program, Tbilisi State Medical University , Tbilisi 0186 ,","place":["Georgia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luka","family":"Kiguradze","sequence":"additional","affiliation":[{"name":"Department of Arrhythmology, American Hospital Tbilisi , Tbilisi 0159 ,","place":["Georgia"]},{"name":"Faculty of Medicine, David Tvildiani Medical University , Tbilisi 0159 ,","place":["Georgia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-3397-5347","authenticated-orcid":false,"given":"Irakli","family":"Ninua","sequence":"additional","affiliation":[{"name":"Department of Arrhythmology, American Hospital Tbilisi , Tbilisi 0159 ,","place":["Georgia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,11,13]]},"reference":[{"key":"2025112502421626400_ytaf562-B1","article-title":"Postoperative pain management in ICD patients","author":"Ellenbogen","year":"2020","journal-title":"J Cardiovasc Electrophysiol"},{"article-title":"Psychosomatic medicine: the behavioral medicine approach","year":"2009","author":"Gatchel","key":"2025112502421626400_ytaf562-B2"},{"article-title":"The placebo effect: an interdisciplinary exploration","year":"2008","author":"Harrington","key":"2025112502421626400_ytaf562-B3"},{"key":"2025112502421626400_ytaf562-B4","doi-asserted-by":"crossref","first-page":"ytaf259","DOI":"10.1093\/ehjcr\/ytaf259","article-title":"Implantable loop recorder migration as cause of unexplained chronic chest pain","volume":"9","author":"Verlinde","year":"2025","journal-title":"Eur Heart J Case Rep"},{"key":"2025112502421626400_ytaf562-B5","doi-asserted-by":"crossref","first-page":"ytaf093","DOI":"10.1093\/ehjcr\/ytaf093","article-title":"Right haemothorax secondary to pulmonary vein laceration following left-sided pacemaker implantation: a case report","volume":"9","author":"Fitouchi","year":"2025","journal-title":"Eur Heart J Case Rep"},{"key":"2025112502421626400_ytaf562-B6","doi-asserted-by":"crossref","first-page":"ytaf410","DOI":"10.1093\/ehjcr\/ytaf410","article-title":"When chest pain is not what it seems: time for right diagnosis and right treatment\u2014a case report","volume":"9","author":"La Vecchia","year":"2025","journal-title":"Eur Heart J Case Rep"}],"container-title":["European Heart Journal - 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