This review summarizes the 2010 HRS consensus statement to guide clinicians on the ethical, legal, and practical principles of CIED deactivation at the end of life.
Guides end-of-life CIED decisions; reinforces 2010 consensus without new data.
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 legal and ethical challenges. In 2010, the Heart Rhythm Society (HRS) published an expert consensus statement to review the principles and practice of CIED deactivation. This statement addressed a wide range of ethical and legal principles while providing guidance for communication, decision-making, and procedures in a variety of settings. In this article, we provide a summary of the HRS guidelines and highlight the most important features of CIED deactivation for the practicing clinician.
No takes yet. Share an insight, caveat, or question.
Kramer et al. (2010) conducted a review in Patients with cardiac implantable electrical devices nearing the end of life or requesting withdrawal of therapy. Deactivation of cardiac implantable electrical devices (CIEDs) was evaluated. The Heart Rhythm Society 2010 consensus statement affirms that patients or their surrogates have the ethical and legal right to request deactivation of cardiac implantable electrical devices.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: