Management of Cardiac Electrical Implantable Devices in Patients Nearing the End of Life or Requesting Withdrawal of Therapy: Review of the Heart Rhythm Society 2010 Consensus Statement
Kramer, Daniel B
Ottenberg, Abigale L
Mueller, Paul S
Polskie Archiwum Medycyny Wewn?trznej 2010 Dec; 120(12): 497-502
Cardiac implantable electrical devices (CIEDs) are increasingly common interventions for a wide spectrum of cardiovascular diseases. Caring for patients with life-sustaining devices such as CIEDs at the end of life raises legal and ethical challenges. In 2010, the Heart Rhythm Society (HRS) published an expert consensus statement to review the principles and practice of CIED deactivation. This statement addressed a wide range of ethical and legal principles while providing guidance for communication, decision-making, and procedures in a variety of settings. In this article, we provide a summary of the HRS guidelines and highlight the most important features of CIED deactivation for the practicing clinician.
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HRS Expert Consensus Statement on the Management of Cardiovascular Implantable Electronic Devices (CIEDs) in Patients Nearing End of Life or Requesting Withdrawal of Therapy Lampert, Rachel; Hayes, David L; Annas, George J; Farley, Margaret A; Goldstein, Nathan E; Hamilton, Robert M; Kay, G Neal; Kramer, Daniel B; Mueller, Paul S; Padeletti, Luigi; Pozuelo, Leo; Schoenfeld, Mark H; Vardas, Panos E; Wiegand, Debra L; Zellner, Richard; American Heart Association, (American College of Cardiology; American Geriatrics Society; American Academy of Hospice and Palliative Medicine; European Heart Rhythm Association; Hospice and Palliative Nurses Association, 2010-07)
EHRA Expert Consensus Statement on the Management of Cardiovascular Implantable Electronic Devices in Patients Nearing End of Life or Requesting Withdrawal of Therapy Padeletti, Luigi; Arnar, David O; Boncinelli, Lorenzo; Brachman, Johannes; Camm, John A; Daubert, Jean Claude; Kassam, Sarah; Deliens, Luc; Glikson, Michael; Hayes, David; Israel, Carsten; Lampert, Rachel; Lobban, Trudie; Raatikainen, Pekka; Siegal, Gil; Vardas, Panos; Kirchhof, Paulus; Becker, Rüdiger; Cosio, Francisco; Loh, Peter; Cobbe, Stuart; Grace, Andrew; Morgan, John (Reviewers:; EuropeanHeart RhythmAssociation; Heart Rhythm Society, 2010-10)The purpose of this Consensus Statement is to focus on implantable cardioverter-defibrillator (ICD) deactivation in patients with irreversible or terminal illness. This statement summarizes the opinions of the Task Force ...
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