Cardiac Pacemakers and Implantable Defibrillators in Terminal Care

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Should implantable cardioverter-defibrillators and permanent pacemakers in patients with terminal illness be deactivated? Deactivating Implantable Cardioverter-Defibrillators and Permanent Pacemakers in Patients With Terminal Illness

The recently published 2008 Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities1 include a discussion of ethical issues surrounding the deactivation of pacemakers, implanted cardioverter-defibrillator (ICDs), and CRT devices in patients who are terminally ill. The authors rightly note that most clinicians make an ethical distinction between deactivating an ICD and deactivating a...

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PURPOSE OF REVIEW The purpose of this review is to provide an update on stored diagnostic information furnished by new model pacemakers and implantable cardioverter-defibrillators (ICDs). This information provides crucial information about both device function and arrhythmias discovered with device interrogation and is invaluable when troubleshooting problems with devices. RECENT FINDINGS The...

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Implantable cardiac pacemakers.

Since implantable artificial cardiac pacemakers were first produced in Sweden and the United States in 1958, there has been continual improvement in manufacturing techniques, and reliability ofmodem apparatus has increased to the extent that pacing is generally accepted as the treatment of choice for a high proportion of patients with complete heart block. Nevertheless the use of pacemakers is ...

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Driving restrictions in patients with implantable cardioverter defibrillators and pacemakers

Implantable cardioverter-defibrillators (ICDs) improve the survival in patients at risk of sudden cardiac death. However, these patients have an ongoing risk of sudden incapacitation that may cause harm to individuals and others when driving. Considerable disagreement exists about whether and when these patients should be allowed to resume driving after ICD therapies. This information is critic...

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According to the recommendations of the US Food and Drug Administration and manufacturers, capsule endoscopy should not be used in patients carrying implanted cardiac devices. For this review we considered studies indexed (until 30.06.2013) in Medline [keywords: capsule endoscopy, small bowel endoscopy, cardiac pacemaker, implantable cardioverter defibrillator, interference, left heart assist d...

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ژورنال

عنوان ژورنال: Journal of Pain and Symptom Management

سال: 1999

ISSN: 0885-3924

DOI: 10.1016/s0885-3924(99)00038-x