EHRA Expert Consensus Statement on the Management of Cardiovascular Implantable Electronic Devices in Patients Nearing End of Life or Requesting Withdrawal of Therapy
Arnar, David O
Camm, John A
Daubert, Jean Claude
Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology 2010 Oct; 12(10): 1480-9
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 members, convened by the European Heart Rhythm Association (EHRA) and the Heart Rhythm Society (HRS), based on ethical and legal principles, as well as their own clinical, scientific, and technical experience. It is directed to all healthcare professionals who treat patients with implanted ICDs, nearing end of life, in order to improve the patient dying process. This statement is not intended to recommend or promote device deactivation. Rather, the ultimate judgement regarding this procedure must be made by the patient (or in special conditions by his/her legal representative) after careful communication about the deactivation's consequences, respecting his/her autonomy and clarifying that he/she has a legal and ethical right to refuse it. Obviously, the physician asked to deactivate the ICD and the industry representative asked to assist can conscientiously object to and refuse to perform device deactivation.
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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)
HRS/EHRA Expert Consensus on the Monitoring of Cardiovascular Implantable Electronic Devices (CIEDs): Description of Techniques, Indications, Personnel, Frequency and Ethical Considerations: Developed in Partnership With the Heart Rhythm Society (HRS) and the European Heart Rhythm Association (EHRA); and in Collaboration With the American College of Cardiology (ACC), the American Heart Association (AHA), the European Society of Cardiology (ESC), the Heart Failure Association of ESC (HFA), And the Heart Failure Society of America (HFSA). Endorsed by the Heart Rhythm Society, the European Heart Rhythm Association (A Registered Branch of the ESC), the American College of Cardiology, the American Heart Association Wilkoff, Bruce L.; Auricchio, Angelo; Brugada, Josep; Cowie, Martin; Ellenbogen, Kenneth A.; Gillis, Anne M.; Hayes, David L.; Howlett, Jonathan G.; Kautzner, Josef; Love, Charles J.; Morgan, John M.; Priori, Silvia G.; Reynolds, Dwight W.; Schoenfeld, Mark H.; Vardas, Panos E. (2008-06)
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 (2010-12)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 ...