Document Detail


EHRA Expert Consensus Statement on the management of cardiovascular implantable electronic devices in patients nearing end of life or requesting withdrawal of therapy.
MedLine Citation:
PMID:  20675674     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Luigi Padeletti; David O Arnar; Lorenzo Boncinelli; Johannes Brachman; John A Camm; Jean Claude Daubert; Sarah K Hassam; Sarah Kassam; Luc Deliens; Michael Glikson; David Hayes; Carsten Israel; Rachel Lampert; Trudie Lobban; Pekka Raatikainen; Gil Siegal; Panos Vardas; ; Paulus Kirchhof; Rüdiger Becker; Francisco Cosio; Peter Loh; Stuart Cobbe; Andrew Grace; John Morgan; ;
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Publication Detail:
Type:  Consensus Development Conference; Journal Article     Date:  2010-07-30
Journal Detail:
Title:  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     Volume:  12     ISSN:  1532-2092     ISO Abbreviation:  Europace     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-29     Completed Date:  2011-01-24     Revised Date:  2011-05-12    
Medline Journal Info:
Nlm Unique ID:  100883649     Medline TA:  Europace     Country:  England    
Other Details:
Languages:  eng     Pagination:  1480-9     Citation Subset:  IM    
Affiliation:
1Department of Heart and Vessels, University of Florence, Florence, Italy. lpadeletti@interfree.it
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MeSH Terms
Descriptor/Qualifier:
Consensus
Defibrillators, Implantable / ethics*
Device Removal / ethics,  legislation & jurisprudence
Humans
Palliative Care / ethics*,  legislation & jurisprudence*
Patient Rights / ethics,  legislation & jurisprudence
Terminal Care / ethics*,  legislation & jurisprudence*
Comments/Corrections
Erratum In:
Europace. 2011 Apr;13(4):599
Note: Kassam, Sarah [corrected to Hassam, Sarah K]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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