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Correspondence
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Volume 350:734-735 February 12, 2004 Number 7
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Implantable Cardioverter–Defibrillators and Complications

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by DiMarco, J. P.
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To the Editor: In the review article on implantable cardioverter–defibrillators by DiMarco (Nov. 6 issue),1 indications and clinical trials were comprehensively covered. However, in the section on complications, the deactivation of an implantable cardioverter–defibrillator as a solution for undesired shocks (appropriate or inappropriate) was not mentioned. Since it is ethically and legally permissible for a patient to request the withdrawal of any medical treatment,2,3 this issue should be addressed in a review article on implantable cardioverter–defibrillator therapy. Patients with implantable cardioverter–defibrillators may find their quality of life decreased4,5 and therefore may elect to receive no further intervention from such a . . . [Full Text of this Article]



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