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Research Letter |

Decision Making at the Time of ICD Generator Change:  Patients' Perspectives

Krystina B. Lewis, RN, MN, CCN(C)1,2; Pablo B. Nery, MD3; David H. Birnie, MBChB, MD3
[+] Author Affiliations
1School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada
2Pacemaker and Defibrillator Clinic, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
3Division of Cardiology, Department of Medicine, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
JAMA Intern Med. 2014;174(9):1508-1511. doi:10.1001/jamainternmed.2014.3435.
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There are increasing numbers of patients who are faced with implantable cardioverter-defibrillator (ICD) generators that are low in voltage and require replacement to remain functional. This is an ideal time to reevaluate health care goals and explore personal preferences regarding continuing ICD therapy. We aim herein to assess patient awareness that ICD generator replacement is optional, to gauge their understanding of the risks and benefits of ICD replacement, and to gain insight into their decision-making process.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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