The ethics of deactivating a pacemaker in a pacing- dependent patient : reflections on a case study. The decision to deactivate a pacemaker in a pacing- dependent patient is troubling for some health professionals who may regard such interventions as hastening death and therefore ethically impermissible. This may be especially concerning in situations where a patient is unable to clearly state what their preferences may be and the decision--were it to be made--will almost certainly result in the patient 's immediate death. In this discussion, we reflect on some of the ethical aspects that arise when JP, a year-old woman who is pacing dependent , suffers a significant brain injury, and the family request that her pacemaker be deactivated. Taking into account the clinical reality of her situation, the united wishes and loving concern of her husband and family, and their substituted judgment regarding her likely preferences, we claim that the decision to deactivate her pacemaker was ethically sound. Sport activity is an important issue in many patients with a pacemaker either because they performed sport activities before pacemaker implantation to reduce the cardiovascular risk or to improve the course of an underlying cardiovascular disease e. Compared to patients with an implantable cardioverter defibrillator ICD the risks from underlying cardiovascular disease e.
pacemaker dependent patient: Topics by hannoufmediagroup.com
Under this law and the agency's regulations, the FDA is responsible for regulating the sale of all electrical muscle stimulators in the United States. Therefore, firms must comply with appropriate FDA premarket regulatory requirements before they can legally sell their stimulators. Most electrical muscle stimulators EMS devices that have been reviewed by FDA are intended for use in physical therapy and rehabilitation under the direction of a health care professional. If a company wants to sell EMS devices directly to consumers, the company needs to show FDA it can be used safely and effectively in that setting.
Facial muscle exercise program and pacemaker
Normally, the heart is signaled to contract, or squeeze, by an electrical impulse that starts in the sinus node at the top of the right atrium. The impulse then travels through the heart's "wires," to the muscles of the lower chambers of the heart right and left ventricles , telling them to contract and cause a heartbeat. This natural system helps the heart pump in an efficient rhythm.