Implantable defibrillators go direct to consumer

Dr. Wes examines the implications:

But in reality, these devices are surgically implanted and are a big deal for the recipient to receive. Certainly they can mean peace of mind in some folks, but the variable psychologic impact of these devices should not be underestimated. I would say the majority of patients I have implanted with these devices are genuinely happy they have one. But there are also patients who have had unfortunate experiences with these devices: from their implant to their follow-up after recurrent shocks from the device. Sugar-coating the implications of a device implant with sexy TV spots might win people’s initial acceptance, but a dose of reality and the implications for continued follow-up and management of these devices should also be reviewed carefully with the implanting physician.