Complete Heart Block in a Patient Declining Pacemaker Implantation: A Discussion on Patient-Centered Care and Shared Decision-Making
2024
Patient Refuses Pacemaker for Complete Heart Block: A Case Study
Sample size: 1
publication
Evidence: low
Author Information
Author(s): Muacevic Alexander, Adler John R, Buntyn Robert W, Patel Vraj, Lewis Hope N, Aung Thein T, Mukerji Vaskar
Primary Institution: Wright State University Boonshoft School of Medicine
Conclusion
The case illustrates the importance of patient-centered care and shared decision-making in medical treatment.
Supporting Evidence
- The patient had a history of progressive heart block but was asymptomatic.
- Patient-centered care emphasizes the importance of individual health needs in decision-making.
- The patient declined both pacemaker implantation and upper endoscopy despite medical recommendations.
Takeaway
This study is about a patient who had a serious heart condition but chose not to have a pacemaker, showing that patients can have different views on what treatment is best for them.
Limitations
The study is based on a single case, which may not be generalizable to all patients with similar conditions.
Participant Demographics
An 82-year-old man with multiple comorbidities.
Digital Object Identifier (DOI)
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