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End-of-Life Issues: Management of Cardiac Implantable Electronic Devices

  • Cynthiane J. MorgenweckEmail author
Chapter

Abstract

It has become increasingly acceptable for clinicians to disable cardiac devices placed in a patient if the patient so requests. When deactivation was first proposed, there was significant resistance. However, with the rise of patient autonomy, the recognition that quality of life is a patient judgment and the increased burdens of multiple chronic illnesses patients face as they live longer, device deactivation is a reasonable approach in end-of-life care. The three intracardiac devices (pacemaker, automatic implantable cardioverter defibrillator and ventricular assist device) have different benefits, burdens and deactivation trajectories. This chapter will review the commonalities and differences and suggest some talking points when there is a request for deactivation.

Keywords

End-of-Life Ethics Deactivation Pacemakers Automatic Implantable Cardioverter Defibrillators Ventricular Assist Devices 

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Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  1. 1.Center for Bioethics and Medical HumanitiesMedical College of WisconsinMilwaukeeUSA

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