Addressing end-of-life management in patients with implantable cardioverter defibrillators and pacemakers

2011 ◽  
Vol 3 (4) ◽  
pp. 425-428
Author(s):  
Sachin Logani ◽  
James N Kirkpatrick
2014 ◽  
Vol 214 (1) ◽  
pp. 31-37 ◽  
Author(s):  
T. Datino ◽  
L. Rexach ◽  
M.T. Vidán ◽  
A. Alonso ◽  
Á. Gándara ◽  
...  

2004 ◽  
Vol 141 (11) ◽  
pp. 835 ◽  
Author(s):  
Nathan E. Goldstein ◽  
Rachel Lampert ◽  
Elizabeth Bradley ◽  
Joanne Lynn ◽  
Harlan M. Krumholz

2020 ◽  
Vol 28 (11) ◽  
pp. 565-570
Author(s):  
R. Stoevelaar ◽  
A. Brinkman-Stoppelenburg ◽  
R. L. van Bruchem-Visser ◽  
A. G. van Driel ◽  
R. E. Bhagwandien ◽  
...  

Abstract The implantable cardioverter defibrillator (ICD) is effective in terminating life-threatening arrhythmias. However, in the last phase of life, ICD shocks may no longer be appropriate. Guidelines recommend timely discussion with the patient regarding deactivation of the shock function of the ICD. However, research shows that such conversations are scarce, and some patients experience avoidable and distressful shocks in the final days of life. Barriers such as physicians’ lack of time, difficulties in finding the right time to discuss ICD deactivation, patients’ reluctance to discuss the topic, and the fragmentation of care, which obscures responsibilities, prevent healthcare professionals from discussing this topic with the patient. In this point-of-view article, we argue that healthcare professionals who are involved in the care for ICD patients should be better educated on how to communicate with patients about ICD deactivation and the end of life. Optimal communication is needed to reduce the number of patients experiencing inappropriate and painful shocks in the terminal stage of their lives.


2013 ◽  
Vol 9 (6) ◽  
pp. 885-896 ◽  
Author(s):  
Stephen J Pettit ◽  
Colette E Jackson ◽  
Roy S Gardner

2016 ◽  
Vol 32 (10) ◽  
pp. S324-S325
Author(s):  
D. Campbell ◽  
M. Touw ◽  
I. Harle ◽  
C. Simpson ◽  
A. Baranchuk ◽  
...  

2012 ◽  
Vol 109 (1) ◽  
pp. 91-94 ◽  
Author(s):  
James N. Kirkpatrick ◽  
Maia Gottlieb ◽  
Priya Sehgal ◽  
Rutuke Patel ◽  
Ralph J. Verdino

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