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Letters |20 July 2010

Complexities of Defibrillator Deactivation

Nathan E. Goldstein, MD; Melissa Carlson, MBA, PhD; Jean S. Kutner, MD, MSPH

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Author, Article, and Disclosure Information
Potential Conflicts of Interest: None disclosed.
  • From Mount Sinai School of Medicine, New York, NY 10029, and University of Colorado Denver School of Medicine, Aurora, CO 80045.
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Potential Conflicts of Interest: None disclosed.
IN RESPONSE:
We appreciate Drs. Dev and Galanos's thoughtful response to our article. The goal of our work has always been to encourage patient–clinician communication about ICD deactivation to ensure that patients and families can make informed choices that are consistent with their values and desires for care. As such, we do not suggest requiring deactivation of devices in all patients and encourage physicians to respect patient autonomy when it comes to ICD management—even if, in the clinician's mind, the patient's decision seems to be counterintuitive. Drs. Dev and Galanos's comments about patients not...
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Goldstein NE, Carlson M, Kutner JS. Complexities of Defibrillator Deactivation. Ann Intern Med. 2010;153:134. doi: 10.7326/0003-4819-153-2-201007200-00018

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Published: Ann Intern Med. 2010;153(2):134.

DOI: 10.7326/0003-4819-153-2-201007200-00018

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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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