| 摘要 |
A system and method for employing hypnosis and other pain self-management techniques to mitigate pain experienced by patients receiving therapeutic ICD shocks. In one aspect, a patient is screened for hypnotic inducibility and provided with at least one of redirection/suggestion training, training in self-hypnosis and hypnotic inducement and direct suggestions for pain mitigation. In other aspects, an implantable stimulation device monitors the patient for an arrhythmic event and provides an indication that a therapeutic shock is impending. The patient can then initiate a pain management technique prior to delivery of the shock. Indications can include an audible tone that can help induce a hypnotic state, a tactile vibration, and/or an electrical stimulation. In certain aspects, delivery of the shock is delayed until the device determines that the patient has achieved an effective pain self-management state, which can include implantee activation of certain therapies.
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