Ethical dilemmas and end-of-life choices for patients with implantable cardiac devices: Decisions regarding discontinuation of therapy

Current Treatment Options in Cardiovascular Medicine

Volumn 13, Issue 5, 2011, Pages 385-392

  Grubb, Blair P ^a   Karabin, Beverly ^a  

^a MEDICAL COLLEGE OF OHIO   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; ARTIFICIAL HEART PACEMAKER; BENEFICENCE; DEFIBRILLATION; HUMAN; MEDICAL ETHICS; MEDICOLEGAL ASPECT; PATIENT ATTITUDE; PATIENT AUTONOMY; PATIENT CARE; PATIENT DECISION MAKING; PATIENT EDUCATION; PATIENT INFORMATION; RESPONSIBILITY; TERMINAL CARE; TREATMENT WITHDRAWAL;

EID: 80755132076     PISSN: 10928464     EISSN: 15343189     Source Type: Journal    
DOI: 10.1007/s11936-011-0136-7     Document Type: Article

References (16)

1. Lampert R, Hayes D, Annas G, 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;7:1008-26. This is an excellent and comprehensive summary of the background regarding the ethical and legal basis for terminating pacemaker or ICD therapy and is a "must read" for anyone in the field
2. Finlay E, Casarette D. Making difficult discussions easier: using prognosis to facilitate transitions to hospice. CA Cancer J Clin. 2009;59:250-63.
3. Ahmad M, Bloomstein L, Roelke M, Bernstein A, Prasonette V. Patients' altitudes toward implanted defibrillation shocks. Pacing Clin Electrophysiol. 2000;23(6):934-8. (Pubitemid 30413598)
4. McGearly A, Eldergill A. Medicolegal issues arising when pacemaker and implantable cardioverter defibrillator devices are deactivated in terminally ill patients. Med Sci Law. 2010;50:40-4.
5. Wu EB. The ethics of implantable devices. J Med Ethics. 2007;33:532-3.
6. England R, England T, Coggon J. The ethical and legal implications of deactivating an implantable cardioverter-defibrillator in a patient with terminal cancer. J Med Ethics. 2007;33:538-40.
7. Kapa S, Mueller P, Hayes D, Assirvatham S. Perspectives on withdrawing pacemaker therapies at end of life: results of a survey of medical and legal professionals and patients. Mayo Clin Proc. 2010;85(11):981-90. This is an informative survey of perspectives on cardiac device deactivation from physicians, lawyers, and the lay public
8. Kay GN, Bittner G Deactivating implantable cardioverter defibrillators and permanent pacemakers in patients with terminal illness. Arrhythm Electrophysiol. 2009;336-339. This article presents a different perspective on device deactivation in patients at end of life
9. Pendersen SS, Van den Broek KC, Sears SF. Psychological intervention following implantation of an implantable defibrillator: a review and future recommendations. PACE. 2007;30:1546-54. (Pubitemid 350198269)
10. Hazelton AG, Sears SF, Kirian K, Matchett M, Shea J. Coping with my partner's ICD and cardiac diseases. Circulation. 2009 Sept 8; e74.
11. Ferris FD, von Gunten CF, Emanuel LL. Competency in end-of-life care: last hours of life. J Palliative Med. 2003:605-13. (Pubitemid 37012635)
12. Sears SF, Sowell LD, Kuhl EA, Kovacs AH, Serber ER, Handberg E, et al. The ICD shock and stress management program: a randomized trial of psychosocial treatment to optimize quality of life in ICD patients. PACE. 2007;30(7):858-64. (Pubitemid 46955406)
13. Kramer DB, Kesselheim AS, Brock DW, Maisel WH. Ethical and legal views of physicians regarding deactivation of cardiac implantable electrical devices: a quantitative assessment. Heart Rhythm. 2010;7(11):1537-42.
14. Back AL, Young JP, McCown E, Engleberg R, Vig E, Reinke L, et al. Abandonment at the end of life from patient, caregiver nurse and physician perspectives. Arch Int Med. 2009;169(5):474-9.
15. Goldstein N, Mehta D, Teitelbaum E, Bradley E, Morrison RS. "It's like crossing a bride" complexities preventing physicians from discussing deactivation of implantable defibrillators at end of life. J Gen Int Med. 2008;23(s1):2-6. (Pubitemid 350295386)
16. Grubb BP. With a little more soul. Card Electrophysiol Rev. 2003;7:85-7. (Pubitemid 36758058)