Here we report a self-harming patient with a psychiatric disorder. A 73-year-old female patient\nwith 16-year coronary heart disease and a 4-year depression was admitted to our hospital for a coma. Two months\nearlier, the local hospital confirmed that the patient had a second-degree sinoatrial (SA) block (type 2) as well as\nbasal septal hypertrophy with the left ventricular outflow obstruction. Therefore, metoprolol sustained-release\ntablets 95 mg QD and diltiazem sustained-release tablets 90 mg QD was given as treatment after a pacemaker was\nimplanted. However, the patient had continued complaining about discomfort due to the pacemaker implanted\nafter being discharged from the hospital. Two months later, she attempted to commit suicide by removing her\npacemaker and taking 80 sleeping pills. After a series of treatments, the patient improved and was discharged\nwithout a pacemaker re-implantation. With continued anti-depression treatment and strengthen family supervision,\nthe patientâ??s condition is stable now.\nConclusions: A suicide attempt by intentionally removing the permanent pacemaker system was rarely reported. In\nbradycardia patients with a history of psychological or psychiatric disease, careful evaluation should be done before\nand after implantation of the pacemaker.
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