According to research (Abstract 14165) presented at the American Heart Association’s Scientific Sessions 2011, men with congenital heart disease and implanted cardioverter defibrillators (ICDs) often have a high level of fear and anxiety about the device delivering a shock during sex — resulting in sexual performance problems.
The results of this study suggest that patients and doctors should talk about these concerns to help patients cope with the increased anxiety surrounding the ICD and refer them for appropriate counseling when indicated.
Communication among healthcare providers and patients is essential. Patients require counseling both before and after device placement particularly if they continue to report high levels of nervous feelings.

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