Ethical Dilemmas and End-of-Life Choices for Patients with Implantable Cardiac Devices: Decisions Regarding Discontinuation of Therapy

  • Blair P. Grubb
  • Beverly Karabin

Opinion statement

It is our belief that a well-designed cardiac device management program should include end-of-life patient and family planning, addressing potential decisions regarding withdrawal of pacemaker and/or implantable cardioverter defibrillator therapy. Guided by the basic ethical and legal principles outlined in the article, it is the responsibility of the electrophysiologist and other involved health care providers to introduce this topic to patients, provide guidance and resources for decision making, and honor both patient and family requests.


Cardiac Resynchronization Therapy Advance Care Planning Implantable Cardioverter Defibrillator Therapy Implantable Cardiac Defibrillator Cardiac Device 
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B. Grubb is a consultant for Medtronic and has received honoraria from Biotronik. B. Karabin has received honoraria from Medtronic, and has received payment for development of educational presentations and had travel expenses covered by Medtronic Biotronik.

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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.CardiologyUniversity of Toledo Medical CenterToledoUSA

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