EHRA Expert Consensus Statement on the Management of Cardiovascular Implantable Electronic Devices in Patients Nearing End of Life or Requesting Withdrawal of Therapy
Creator
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
Bibliographic Citation
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
Abstract
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.
Date
2010-10Subject
Publisher
Reviewers:; EuropeanHeart RhythmAssociation; Heart Rhythm Society
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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)