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. 2019 May;42(5):548-552.
doi: 10.1111/pace.13641. Epub 2019 Apr 3.

Planning ahead: End-of-life decisions for patients with defibrillators

Casey E Cavanagh  1   2 , Lindsey Rosman  1   2 , Rachel Lampert  1 , Philip W Chui  2   3 , Mary L Johnston  4 , Matthew M Burg  1   5
Affiliations

Planning ahead: End-of-life decisions for patients with defibrillators

Casey E Cavanagh et al. Pacing Clin Electrophysiol. 2019 May.
No abstract available

Keywords: cardiac resynchronization therapy-defibrillators; deactivation; end-of-life; implantable cardioverter defibrillator.

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Conflict of interest statement

CONFLICT OF INTEREST

Rachel Lampert receives research grants from Medtronic and St Jude/Abbott; and advisory board and honoraria from Medtronic. All the other authors have no conflict of interest.

Figures

FIGURE 1
FIGURE 1
Tips for discussing turning off your defibrillator with your loved ones and caregivers
FIGURE 2
FIGURE 2
Tips for discussing turning off your defibrillator with your healthcare provider
FIGURE 3
FIGURE 3
Common fears and facts and additional resources about deactivation of defibrillators
See this image and copyright information in PMC

References

    1. Moss AJ, Zareba W, Hall WJ, et al. Prophylactic implantation of a defibrillator in patients with myocardiacl infarction and reduced ejection fraction. N Engl J Med. 2002;346:877–883. - PubMed
    1. Al-Khatib SM, Stevenson WG, Ackerman MJ, et al. 2017 AHA/ACC/HRS guideline for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Circulation. 2018;138:e272–e391. - PubMed
    1. Goldstein NE, Lampert R, Bradley E, Lynn J, Krumholz HM. Management of implantable cardioverter defibrillators in end-of-life care. Ann Intern Med. 2004;141:835–838. - PubMed
    1. Dougherty CM. Psychological reactions and family adjustment in shock versus no shock groups after implantation of internal cardioverter defibrillator. Heart Lung. 1995;24:281–291. - PubMed
    1. Lampert R, Hayes DL, Annas GJ, et al. HRS Expert Consensus Statement on the Management of Cardiovascular Implantable Electronic Devices (CIEDs) in patients nearing end of life or requesting withdrawal of therapy. Heart Rhythm. 2010;7:1008–1026. - PubMed

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