Work

Defibrillati|on|off

Year: 2025

Type: article

Abstract: Conversations on ICD deactivation can be challenging and must be approached sensitively. Patients are fearful at the end of their lives, and both they and their families do not want to relinquish hope. To them, their ICDs represent the preservation of life. As health care professionals, we must tread carefully in the pursuit of a shared understanding and identification of the best path forward. We support sensitive discussions on deactivation at various points along the patient’s journey, particularly when they develop comorbid conditions or when signs of cognitive impairment become apparent. This will avoid unwelcome surprises and difficult new conversations at the end of life and will foster relationships built on trust and shared goals.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2024.103226

Authors: Robert Trueick, James O’Neill, Michael J. Daly

Institutions: Connolly Hospital Blanchardstown, Royal College of Surgeons in Ireland

Language: English

Topic: Palliative Care and End-of-Life Issues

Subfield: Public Health, Environmental and Occupational Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $850