TY - JOUR T1 - Defibrillators, deactivation, decisions, and dying : Comment on “patient preferences for deactivation of implantable cardioverter-defibrillators” AU - Matlock DD, Allen LA Y1 - 2013/03/11 N1 - 10.1001/jamainternmed.2013.2130 JO - JAMA Internal Medicine SP - 379 EP - 380 VL - 173 IS - 5 N2 - In a medical culture where death is too often viewed as failure, clinicians and patients struggle to have high-quality discussions about deactivating an implantable cardioverter-defibrillator (ICD). The implications of this inaction are not trivial. In approximately half of hospices over the course of a year, patients dying of incurable disease will be shocked by their ICDs.1 Multiple societies have made recent calls for increased communication around ICD deactivation.2- 3 However, exactly what form those conversations should take has yet to be determined. SN - 2168-6106 M3 - doi: 10.1001/jamainternmed.2013.2130 UR - http://dx.doi.org/10.1001/jamainternmed.2013.2130 ER -