Verantwortlicher Umgang mit ICDs. Stellungnahme der Deutschen Gesellschaft für Kardiologie und ihrer Schwester-Gesellschaften

Waltenberger, Johannes and Schöne-Seifert, Bettina and Friedrich, Daniel R. and Alt-Epping, Bernd and Bestehorn, Maike and Dutzmann, Jochen and Ertl, Georg and Fateh-Moghadam, Bijan and Israel, C. W. and Maase, A.. (2017) Verantwortlicher Umgang mit ICDs. Stellungnahme der Deutschen Gesellschaft für Kardiologie und ihrer Schwester-Gesellschaften. Der Kardiologe, 11 (5). pp. 383-397.

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Responsible handling of ICDs Statement of the German Society of Cardiology and sister societies Abstract An increasing number of patients receive small implantable cardioverter/defibrillators (ICDs) embedded under their skin so as to prevent potentially life-threatening cardiac arrhythmias. As beneficial as these devices may be, they can also trigger problems, particularly when patients approach the end of life independent of their concomitant heart disease. In such cases, often many years after the initial implantation, ICDs may burden patients by unwanted shocks and by prolonging the process of dying. Fortunately, these problems can be eliminated by an ICD deactivation from outside, based on the patient’s (presumed) consent. Treating physicians, however, must be well acquainted with both the technical feasibility and equipment as well as the legal and ethical permissibility of such deactivations. Moreover, it is within the physicians’ responsibility to inform patients about these problems and their possible handling by an ICD directive in the context of advance care planning. The following report provides a systematic analysis of the aforementioned aspects as well as practical recommendations.
Faculties and Departments:02 Faculty of Law > Departement Rechtswissenschaften > Fachbereich Strafrecht > Professur Grundlagen des Rechts und Life Sciences-Recht (Fateh-Moghadam)
UniBasel Contributors:Fateh-Moghadam, Bijan
Item Type:Article
Article Subtype:Research Article
Publisher:Springer Medizin
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:10 Oct 2017 08:59
Deposited On:10 Oct 2017 08:59

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