Pacing and clinical electrophysiology : PACE
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Pacing Clin Electrophysiol · Oct 2013
Randomized Controlled Trial Multicenter StudyEnd-of-life care in patients with implantable cardioverter defibrillators: a MADIT-II substudy.
Implantable cardioverter defibrillator (ICD)-delivered shocks can cause substantial distress, warranting consideration of ICD deactivation at end of life. This study was designed to describe the patterns of end-of-life management in patients with ICDs. ⋯ In patients with terminal conditions who are at risk for imminent death, active management of the patient's ICD, including timely discussions regarding ICD deactivation, may reduce the risk of ICD shocks during the end of life.