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Letters |1 November 2005

Deactivating Implantable Cardioverter Defibrillators

James M. Beattie, MD; Michael J. Connolly, MPhil, RGN; John E. Ellershaw, MA

Article, Author, and Disclosure Information
Author, Article, and Disclosure Information
  • From Heartlands Hospital, Birmingham B9 5SS, United Kingdom; South Manchester University Hospital, Manchester M23 9LT, United Kingdom; and Marie Curie Palliative Care Institute, Liverpool L25 8QA, United Kingdom.

    Potential Financial Conflicts of Interest: None disclosed.

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TO THE EDITOR:
The review by Berger (1) highlights the complex end-of-life issues posed by the presence of ICDs. This dilemma is particularly difficult for those physicians treating patients who have advanced heart failure, a group that is receiving implantable devices at an increasing rate and whose prognosis is ambiguous. The American College of Cardiology/American Heart Association practice guidelines for chronic heart failure offer the consensus view that such devices are of little benefit in those patients with New York Heart Association class IV symptoms typical of end-stage disease (2).
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Beattie JM, Connolly MJ, Ellershaw JE. Deactivating Implantable Cardioverter Defibrillators. Ann Intern Med. ;143:690–691. doi: 10.7326/0003-4819-143-9-200511010-00016

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Published: Ann Intern Med. 2005;143(9):690-691.

DOI: 10.7326/0003-4819-143-9-200511010-00016

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2005 American College of Physicians
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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