Arrhythmias & electrophysiology
The Difficult Discussion on the Deactivation of Implantable Cardioverter Devices at the end of Life: A Systematic Review
Authors' conclusion
Complex care requires facilitation by multidisciplinary teams and education around the device's function regarding EOL issues.
Study context
- Population
- Patients with implantable cardioverter defibrillators (ICDs) reaching the end of life, and healthcare professionals12 studies
- Outcome
- Themes on ICD deactivation discussions at end of life (EOL)
Methodological detailsFour electronic databases searched
- Four electronic databases searched
Pooled result
As reported in the abstract
- Three themes: barriers and facilitators, ethical considerations in clinical practice, nurse's role
- Barriers: lack of knowledge, associated with cultural differences
- Facilitators: interdisciplinary education and open communication
- Clinicians' ethical considerations and fears emerged; nurses' special role not sufficiently supported
Original publication
The Difficult Discussion on the Deactivation of Implantable Cardioverter Devices at the end of Life: A Systematic Review. ESC Heart Fail. Published 13 May 2024. doi:10.
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