{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:43:49Z","timestamp":1753875829348,"version":"3.41.2"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Implantable cardioverter defibrillators (ICDs) are implanted in increasing numbers of patients with the aim of treating ventricular arrhythmias in high-risk patients and reducing their risk of dying. Individuals are also living longer with these devices. As a result, a greater number of patients with an ICD will deteriorate either with worsening cardiac failure, another non-cardiac condition or general frailty and will have a limited prognosis. Frequently, they will be cared for by non-cardiac teams who may be less familiar with ICDs. Therefore, to ensure the person receives high-quality end-of-life care, they should have the opportunity to consider and discuss the option to deactivate the shock function of their ICD. If the ICD shock therapy is not discontinued, there is an increased risk that, as a person reaches the last days of life, the ICD may deliver multiple, painful shocks that are distressing. There is also a risk that the device may delay the person\u2019s natural death, which the person would not have chosen if they had been given the opportunity to discuss discontinuation. The British Heart Rhythm Society has developed a practical guideline to support all healthcare professionals who are caring for patients who have an ICD. This includes descriptions of different device types, ethical and legal aspects, timing and nature of ICD discussions and practical advice regarding how the devices may be deactivated. It aims to promote awareness and timely discussion between professionals and patients and to encourage best practice.<\/jats:p>","DOI":"10.1093\/ageing\/afae246","type":"journal-article","created":{"date-parts":[[2024,11,14]],"date-time":"2024-11-14T01:40:20Z","timestamp":1731548420000},"source":"Crossref","is-referenced-by-count":1,"title":["The discontinuation of implantable cardioverter defibrillator shock therapies towards the end of life: consensus guideline from the British Heart Rhythm Society"],"prefix":"10.1093","volume":"53","author":[{"given":"Honey","family":"Thomas","sequence":"first","affiliation":[{"name":"Cardiology Department Northumbria Healthcare NHS Foundation Trust , Silver Fox Way, Cobalt Business Park, Newcastle upon Tyne NE27 0QJ,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy","family":"Dutton","sequence":"additional","affiliation":[{"name":"Cardiology Department Wythenshawe Hospital, Manchester University NHS Foundation Trust , Southmoor Road, Manchester M23 9LT,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miriam J","family":"Johnson","sequence":"additional","affiliation":[{"name":"Wolfson Palliative Care Research Centre , Hull York Medical School, , Hull,","place":["UK"]},{"name":"University of Hull , Hull York Medical School, , Hull,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather","family":"Herbert","sequence":"additional","affiliation":[{"name":"Cardiology Department , Royal Devon and Exeter Hospital, , Exeter EX2 5DW,","place":["UK"]},{"name":"Royal Devon University Healthcare NHS Foundation Trust , Royal Devon and Exeter Hospital, , Exeter EX2 5DW,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"Wallace","sequence":"additional","affiliation":[{"name":"Cardiology Department Northumbria Healthcare NHS Foundation Trust , Silver Fox Way, Cobalt Business Park, Newcastle upon Tyne NE27 0QJ,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Foley","sequence":"additional","affiliation":[{"name":"Cardiology Department The Great Western Hospital , Marlborough Road, Swindon SN3 6BB,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,11,13]]},"reference":[{"author":"CIEDs","key":"2024111401401399900_ref1"},{"key":"2024111401401399900_ref2"},{"author":"CIEDs","key":"2024111401401399900_ref3"},{"author":"ICD","key":"2024111401401399900_ref4"},{"key":"2024111401401399900_ref5","first-page":"757","article-title":"Frailty status modifies the efficacy of ICD therapy for primary prevention among patients with HF","volume":"12","author":"Segar","year":"2024","journal-title":"J Am Coll Cardiol HF"},{"key":"2024111401401399900_ref6","doi-asserted-by":"crossref","first-page":"e012309","DOI":"10.1161\/CIRCEP.123.012309","article-title":"Implantable cardioverter-defibrillator deactivation at distance for the dignity of dying (the 4D project)","volume":"16","author":"Alexander","year":"2023","journal-title":"Circ Arrhythm Electrophysiol"}],"container-title":["Age and Ageing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ageing\/article-pdf\/53\/11\/afae246\/60651145\/afae246.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ageing\/article-pdf\/53\/11\/afae246\/60651145\/afae246.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,14]],"date-time":"2024-11-14T01:40:22Z","timestamp":1731548422000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ageing\/article\/doi\/10.1093\/ageing\/afae246\/7899883"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,1]]},"references-count":6,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2024,11,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ageing\/afae246","relation":{},"ISSN":["0002-0729","1468-2834"],"issn-type":[{"type":"print","value":"0002-0729"},{"type":"electronic","value":"1468-2834"}],"subject":[],"published-other":{"date-parts":[[2024,11]]},"published":{"date-parts":[[2024,11,1]]},"article-number":"afae246"}}