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March 7, 2026European Heart Journal - Quality of Care and Clinical Outcomes1 citationsOpen Access

Shifting Paradigms in ICD Tachytherapy Deactivation in the Final Phase of Life: Eighteen Years of Perspective

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AJA A M Al JaffAEAnastasia D. EgorovaDYDilek Yilmaz

Key Result

Despite improvements, many ICD tachytherapy deactivations still occur on the final day of life, highlighting the need for earlier, proactive counseling.

Key Points

  • The aim is to explore the current practices and perspectives surrounding tachytherapy deactivation in patients at the end of life.
  • Analyzed eighteen years of practices in tachytherapy deactivation.
  • Reviewed cases to identify the timing of deactivations in relation to the final phase of life.
  • Assessed the integration of deactivation counseling into patient care.
  • Findings indicate a plateau in deactivation practices, with many occurring on the final day of life.
  • Emphasized the necessity for earlier discussions and proactive counseling in advance care planning.

Structured PICO

P
Population
Patients with implantable cardioverter-defibrillators (ICDs) in the final phase of life, particularly those with heart failure
I
Intervention
Anticipatory ICD tachytherapy deactivation and advance care planning

ICD tachytherapy deactivation often occurs too late, highlighting the critical need to integrate deactivation discussions into routine care earlier, especially for heart failure patients.

Abstract

Despite improvements in anticipatory tachytherapy deactivation practices, a plateau has been reached. Many deactivations still occur on the final day of life, underscoring the need for earlier and more proactive counselling. Integrating deactivation discussions into routine care, particularly for heart failure patients, will be essential to ensure patient-centered advance care planning.

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Cite This Study

Jaff et al. (2026) studied this question. Despite improvements, many ICD tachytherapy deactivations still occur on the final day of life, highlighting the need for earlier, proactive counseling.

synapsesocial.com/papers/69abc1765af8044f7a4ea1c6https://doi.org/10.1093/ehjqcco/qcag038
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