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Research ArticleSpecial Communication

Implantable Cardiac Defibrillator Deactivation During End-of-Life Care in the COVID-19 Pandemic

Sarah E. Myers and Gregory L. Eastwood
The Journal of the American Board of Family Medicine May 2021, 34 (3) 474-476; DOI: https://doi.org/10.3122/jabfm.2021.03.200536
Sarah E. Myers
From the Upstate Medical University, State University of New York (SEM, GLE).
MS
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Gregory L. Eastwood
From the Upstate Medical University, State University of New York (SEM, GLE).
MD
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References

  1. 1.↵
    1. Lebner A,
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    . Deactivating implantable cardioverter-defibrillators (ICDs) in cancer patients: A scoping review of ethical considerations. J Pain Manage 2017;10:99–105.
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    1. Westerdahl AK,
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    . Deactivation of implantable defibrillators at end of life – Can we do better? Int J Cardiol 2019;291:57–62.
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    1. Block BL,
    2. Smith AK,
    3. Sudore RL
    . During COVID-19, outpatient advance care planning is imperative: We need all hands on deck. (Letter). J Am Geriatr Soc 2020;68:1395–7.
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    . Cardiovascular manifestations and treatment considerations in covid-19. Heart 2020;106:1132–20.
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    3. Wieters I,
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    . Outcomes of cardiovascular magnetic resonance imaging in patients recently recovered from coronavirus disease 2019 (COVID-19). JAMA Cardiol 2020;5:1265 Published online July 27, 2020. Available from: doi:10.1001/jamacardio.2020.3557 Accessed September 15, 2020.
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    1. Mehra MR,
    2. Desai SS,
    3. Kuy SR,
    4. Henry TD,
    5. Patel AN
    . Cardiovascular disease, drug therapy, and mortality in Covid-19. N Engl J Med 2020;382:e102.
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  7. 7.↵
    1. Lampert R,
    2. Hayes DL,
    3. Annas GJ,
    4. et al
    . Hospice and Palliative Nurses Association. HRS Expert Consensus Statement on the management of cardiovascular implantable electronic devices (CIEDs) in patients nearing end of life or requesting withdrawal of therapy. Heart Rhythm 2010;7:1008–26.
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  8. 8.↵
    1. Padeletti L,
    2. Arnar DO,
    3. Boncinelli L,
    4. et al
    . Heart Rhythm Society. EHRA Expert Consensus Statement on the management of cardiovascular implantable electronic devices in patients nearing end of life or requesting withdrawal of therapy. Europace 2010;12:1480–9.
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  9. 9.↵
    1. Stoevelaar R,
    2. Brinkman-Stoppelenburg A,
    3. Geert van Driel A,
    4. et al
    . Trends in time in the management of the implantable cardioverter defibrillator in the last phase of life: a retrospective study of medical records. Eur J Cardiovasc Nurs 2019;18:449–57.
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  10. 10.↵
    1. Garlitski AC
    . Management of cardiac implantable electronic devices in patients receiving palliative care. Available from: https://www.uptodate.com/contents/management-of-cardiac-implantable-electronic-devices-in-patients-receiving-palliative-care. Updated Jan 24, 2020. Accessed April 22, 2021.
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The Journal of the American Board of Family     Medicine: 34 (3)
The Journal of the American Board of Family Medicine
Vol. 34, Issue 3
May/June 2020
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Implantable Cardiac Defibrillator Deactivation During End-of-Life Care in the COVID-19 Pandemic
Sarah E. Myers, Gregory L. Eastwood
The Journal of the American Board of Family Medicine May 2021, 34 (3) 474-476; DOI: 10.3122/jabfm.2021.03.200536

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Implantable Cardiac Defibrillator Deactivation During End-of-Life Care in the COVID-19 Pandemic
Sarah E. Myers, Gregory L. Eastwood
The Journal of the American Board of Family Medicine May 2021, 34 (3) 474-476; DOI: 10.3122/jabfm.2021.03.200536
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  • Article
    • Abstract
    • Introduction
    • Effects of the COVID-19 Pandemic on ICD Deactivation Decisions
    • Effects of COVID-19 on the Heart
    • 2010 Consensus Statements
    • Improving the Care of Patients with ICDs at the End of Life
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Keywords

  • Cardiac Arrhythmia
  • COVID-19
  • Defibrillators
  • End of Life Care
  • Implantable Cardiac Defibrillators (ICDs)
  • Pandemics
  • Patient Care Planning
  • Primary Care Physicians

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