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Making End-of-Life Care Better for ICD Patients

Tuesday, January 6, 2026
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Patients with implantable cardioverter-defibrillators (ICDs) often face a challenging situation as they approach the end of their lives. These devices can deliver shocks to maintain a heartbeat, but when the time comes, these shocks may not be beneficial. In fact, they can cause unnecessary pain and discomfort.

The Importance of Conversations

Doctors have guidelines that suggest discussing the option of turning off the shock feature when appropriate. This can lead to a more peaceful end-of-life experience. However, there's a significant gap: not all patients and their families are having these crucial conversations.

Why Are These Conversations Not Happening?

Perhaps it's because the topic is sensitive. Nobody wants to talk about the end of life. But avoiding the conversation can lead to more suffering. It's essential for healthcare providers to bring this up gently and clearly.

A Compassionate Approach

Imagine a world where every patient with an ICD gets the chance to discuss their options. This could make a big difference in their quality of life during their final days. It's not just about medical care; it's about compassion and respect for the patient's wishes.

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