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I'm getting turned off: emerging consensus on deactivating cardiac implantable electronic devices
Medicine and Law
|June 21, 2014
Summary
Deactivating permanent heart rhythm devices is increasingly common. An international consensus is emerging on the legal and ethical principles for managing these decisions in patients with chronic cardiac conditions.
Area of Science:
- Cardiology
- Bioethics
- Medical Law
Background:
- The implantation of permanent heart rhythm (resynchronization) devices is a widespread and growing procedure for chronic cardiac deficiencies.
- Patients with these devices may eventually desire deactivation due to physical or emotional reasons, or at the request of their surrogates.
Purpose of the Study:
- To summarize the emerging international professional consensus on the legal and ethical principles guiding the deactivation of cardiac implantable electrical devices (CIEDs).
- To discuss the challenges in applying these principles to individual patient care.
Main Methods:
- Review and synthesis of emerging professional consensus documents and ethical guidelines.
- Analysis of legal and ethical principles relevant to CIED deactivation.
Main Results:
- An international consensus is forming around fundamental legal and ethical principles for CIED deactivation.
- These principles aim to guide clinical practice in complex patient situations.
Conclusions:
- The deactivation of CIEDs involves significant ethical and legal considerations.
- Translating consensus principles into clinical practice presents challenges that require careful consideration for each patient.
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