دورية أكاديمية
Forensic, legal, and clinical aspects of deaths associated with implanted cardiac devices.
| العنوان: | Forensic, legal, and clinical aspects of deaths associated with implanted cardiac devices. |
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| المؤلفون: | Federspiel JM; Faculty of Medicine, Institute of Legal Medicine, Saarland University, Homburg, Germany., Potente S; Faculty of Medicine, Institute of Legal Medicine, Saarland University, Homburg, Germany., Abeln KB; Department for Thoracic and Cardio-Vascular Surgery, Saarland University Medical Center, Homburg, Germany., Hennemann K; Department for Thoracic and Cardio-Vascular Surgery, Saarland University Medical Center, Homburg, Germany., Heinbuch S; Department of Psychiatry, Clinic for Psychiatry, Psychotherapy and Psychosomatics, SHG-Kliniken Sonnenberg, Saarbrücken, Germany., Burkhard K; Faculty of Medicine, Institute of Legal Medicine, Saarland University, Homburg, Germany., Richl M; Institute of Legal Medicine, University Hospital, Goethe-University of Frankfurt, Frankfurt, Germany., Kettner M; Institute of Legal Medicine, University Hospital, Goethe-University of Frankfurt, Frankfurt, Germany., Lux C; Institute of Legal Medicine, University Hospital, Goethe-University of Frankfurt, Frankfurt, Germany., Schmidt P; Faculty of Medicine, Institute of Legal Medicine, Saarland University, Homburg, Germany., Verhoff MA; Institute of Legal Medicine, University Hospital, Goethe-University of Frankfurt, Frankfurt, Germany., Ramsthaler F; Faculty of Medicine, Institute of Legal Medicine, Saarland University, Homburg, Germany. |
| المصدر: | Frontiers in psychiatry [Front Psychiatry] 2023 Nov 28; Vol. 14, pp. 1278078. Date of Electronic Publication: 2023 Nov 28 (Print Publication: 2023). |
| نوع المنشور: | Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Frontiers Research Foundation Country of Publication: Switzerland NLM ID: 101545006 Publication Model: eCollection Cited Medium: Print ISSN: 1664-0640 (Print) Linking ISSN: 16640640 NLM ISO Abbreviation: Front Psychiatry Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Switzerland : Frontiers Research Foundation, 2010- |
| مستخلص: | As the population ages, the prevalence of heart failure and individuals wearing an implanted cardiac device is increasing. The combination of different underlying pathophysiologies and (the combination of) implanted cardiac devices can become a challenge with regard to the determination of cause and manner of death in such individuals. Additionally, heart disease is frequently associated with mental disease, ranging from anxiety and depression to suicidality and suicide (attempts). At the same time, the correct diagnosis of cause and manner of death is the basis for quality assurance, further therapeutic advances, legal safety, and suicide prevention. By that, an interdisciplinary field between legal medicine, clinicians, and law enforcement opens up. In this field, the different participants can simultaneously benefit from and need each other. For example, legal medicine experts need investigatory results and clinical expertise for the interpretation of readout data of implanted cardiac devices in order to correctly determine the cause of death. A correctly determined cause of death can assist law enforcement and help clinicians to further improve various therapeutic approaches based on correct mortality data collection. In addition, it is the basis for identification of suicides of device carriers, allowing psychological and psychiatric experts to better understand the burden of mental disease in this particular cohort. Against this interdisciplinary background, this manuscript summarizes information about psychiatric comorbidities and suicidality while being on a device. Thereby, basic information on complications and malfunctions of implanted cardiac devices, device-associated deaths with particular emphasis on device manipulation is displayed as basic information needed for correct determination of the cause of death. Also, legal and ethical issues in this field are outlined. The final result is a proposal of an interdisciplinary assessment workflow for a conjoint approach to improve the diagnosis of deaths associated with implanted cardiac devices. It will allow for a differentiation between an individual who died with or due to the device. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2023 Federspiel, Potente, Abeln, Hennemann, Heinbuch, Burkhard, Richl, Kettner, Lux, Schmidt, Verhoff and Ramsthaler.) |
| فهرسة مساهمة: | Keywords: cause of death; end stage heart disease; ethics; implanted cardiac devices; left ventricular assist device; mental co-morbidity in cardiac disease |
| تواريخ الأحداث: | Date Created: 20231213 Latest Revision: 20231213 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC10713765 |
| DOI: | 10.3389/fpsyt.2023.1278078 |
| PMID: | 38090699 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1664-0640 |
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| DOI: | 10.3389/fpsyt.2023.1278078 |