{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T19:09:41Z","timestamp":1761419381242,"version":"3.37.3"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,6,9]],"date-time":"2020-06-09T00:00:00Z","timestamp":1591660800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,6,9]],"date-time":"2020-06-09T00:00:00Z","timestamp":1591660800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Zhejiang Provincial Health Department Project","award":["2018260820"],"award-info":[{"award-number":["2018260820"]}]},{"DOI":"10.13039\/501100008867","name":"Department of Education of Zhejiang Province","doi-asserted-by":"crossref","award":["Y201738256"],"award-info":[{"award-number":["Y201738256"]}],"id":[{"id":"10.13039\/501100008867","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Cardiovasc Disord"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>Psychological adaptation after cardiac pacemaker implantation is a challenge for patients with mental illness.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Case presentation<\/jats:title>\n<jats:p>Here we report a self-harming patient with a psychiatric disorder. A 73-year-old female patient with 16-year coronary heart disease and a 4-year depression was admitted to our hospital for a coma. Two months earlier, the local hospital confirmed that the patient had a second-degree sinoatrial (SA) block (type 2) as well as basal septal hypertrophy with the left ventricular outflow obstruction. Therefore, metoprolol sustained-release tablets 95\u2009mg QD and diltiazem sustained-release tablets 90\u2009mg QD was given as treatment after a pacemaker was implanted. However, the patient had continued complaining about discomfort due to the pacemaker implanted after being discharged from the hospital. Two months later, she attempted to commit suicide by removing her pacemaker and taking 80 sleeping pills. After a series of treatments, the patient improved and was discharged without a pacemaker re-implantation. With continued anti-depression treatment and strengthen family supervision, the patient\u2019s condition is stable now.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusions<\/jats:title>\n<jats:p>A suicide attempt by intentionally removing the permanent pacemaker system was rarely reported. In bradycardia patients with a history of psychological or psychiatric disease, careful evaluation should be done before and after implantation of the pacemaker.<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s12872-020-01565-3","type":"journal-article","created":{"date-parts":[[2020,6,9]],"date-time":"2020-06-09T12:03:02Z","timestamp":1591704182000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Pacemaker implantation in patients with major depression, should it be of concern? A case report and literature review"],"prefix":"10.1186","volume":"20","author":[{"given":"Xiaoru","family":"Che","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Youssef S.","family":"Abdelwahed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoyu","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuanjian","family":"Fang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8810-4629","authenticated-orcid":false,"given":"Lihong","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,6,9]]},"reference":[{"key":"1565_CR1","doi-asserted-by":"publisher","first-page":"1471","DOI":"10.1016\/S0140-6736(05)67600-3","volume":"366","author":"K Skegg","year":"2005","unstructured":"Skegg K. Self-harm. Lancet (London, England). 2005;366:1471\u201383.","journal-title":"Lancet (London, England)"},{"key":"1565_CR2","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1111\/j.1540-8159.1980.tb04334.x","volume":"3","author":"R Rosenthal","year":"1980","unstructured":"Rosenthal R, Crisafi BR, Coomaraswamy RP. Manual extraction of a permanent pacemaker: an attempted suicide. Pacing Clin Electrophysiol. 1980;3:229\u201331.","journal-title":"Pacing Clin Electrophysiol"},{"key":"1565_CR3","doi-asserted-by":"publisher","first-page":"224","DOI":"10.1111\/j.1540-8159.1980.tb04333.x","volume":"3","author":"AB Simon","year":"1980","unstructured":"Simon AB, Kleinman P, Janz N. Suicide attempt by pacemaker system abuse: a case report with comments on the psychological adaptation of pacemaker patients. Pacing Clin Electrophysiol. 1980;3:224\u20138.","journal-title":"Pacing Clin Electrophysiol"},{"key":"1565_CR4","doi-asserted-by":"publisher","first-page":"740","DOI":"10.1111\/j.1540-8159.1980.tb05581.x","volume":"3","author":"JW Harthorne","year":"1980","unstructured":"Harthorne JW. Attempted suicide by self-removal of implanted pacemaker. Pacing Clin Electrophysiol. 1980;3:740\u20131.","journal-title":"Pacing Clin Electrophysiol"},{"key":"1565_CR5","doi-asserted-by":"publisher","first-page":"268","DOI":"10.1097\/00000433-198909000-00043","volume":"10","author":"MN Hochmeister","year":"1989","unstructured":"Hochmeister MN, Seifert D, Smetana R, Czernin J. Suicide attempted by aiming slaughtering gun at pacemaker. Am J Forensic Med Pathol. 1989;10:268.","journal-title":"Am J Forensic Med Pathol"},{"key":"1565_CR6","doi-asserted-by":"publisher","first-page":"78","DOI":"10.1097\/01.paf.0000113858.98640.d9","volume":"25","author":"P Bordier","year":"2004","unstructured":"Bordier P, Robert F. Suicide by self-removal of a pacemaker. Am J Forensic Med Pathol. 2004;25:78\u20139.","journal-title":"Am J Forensic Med Pathol"},{"key":"1565_CR7","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1111\/jce.12295","volume":"25","author":"ML Norgaard","year":"2014","unstructured":"Norgaard ML, Melchior T, Wagner T, Haugan K. Suicide attempt by complete self-removal of a 12-year-old permanent pacemaker system: case report. J Cardiovasc Electrophysiol. 2014;25:99\u2013100.","journal-title":"J Cardiovasc Electrophysiol"},{"key":"1565_CR8","doi-asserted-by":"publisher","first-page":"1576","DOI":"10.1161\/CIRCULATIONAHA.113.001555","volume":"128","author":"R Lampert","year":"2013","unstructured":"Lampert R. Managing with pacemakers and implantable cardioverter defibrillators. Circulation. 2013;128:1576\u201385.","journal-title":"Circulation"},{"key":"1565_CR9","first-page":"250","volume":"16","author":"R M\u0142ynarski","year":"2009","unstructured":"M\u0142ynarski R, W\u0142odyka A, Kargul W. Changes in the mental and physical components of the quality of life for patients six months after pacemaker implantation. Cardiol J. 2009;16:250\u20133.","journal-title":"Cardiol J"},{"key":"1565_CR10","doi-asserted-by":"publisher","first-page":"e166","DOI":"10.5114\/amsad.2018.81085","volume":"3","author":"M Polikandrioti","year":"2018","unstructured":"Polikandrioti M, Tzirogiannis K, Zyga S, Gerogianni G, Stefanidou S, Tsami A, et al. Assessment of fatigue in patients with a permanent cardiac pacemaker: prevalence and associated factors. 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