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Titel: Forensic, legal, and clinical aspects of deaths associated with implanted cardiac devices
VerfasserIn: Federspiel, Jan M.
Potente, Stefan
Abeln, Karen B.
Hennemann, Kai
Heinbuch, Sara
Burkhard, Katrin
Richl, Madita
Kettner, Mattias
Lux, Constantin
Schmidt, Peter
Verhoff, Marcel A.
Ramsthaler, Frank
Sprache: Englisch
Titel: Frontiers in Psychiatry
Bandnummer: 14
Verlag/Plattform: Frontiers
Erscheinungsjahr: 2023
Freie Schlagwörter: cause of death
left ventricular assist device
mental co-morbidity in cardiac disease
end stage heart disease
ethics
implanted cardiac devices
DDC-Sachgruppe: 610 Medizin, Gesundheit
Dokumenttyp: Journalartikel / Zeitschriftenartikel
Abstract: 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.
DOI der Erstveröffentlichung: 10.3389/fpsyt.2023.1278078
URL der Erstveröffentlichung: https://doi.org/10.3389/fpsyt.2023.1278078
Link zu diesem Datensatz: urn:nbn:de:bsz:291--ds-413242
hdl:20.500.11880/37065
http://dx.doi.org/10.22028/D291-41324
ISSN: 1664-0640
Datum des Eintrags: 15-Dez-2023
Bezeichnung des in Beziehung stehenden Objekts: Supplementary material
In Beziehung stehendes Objekt: https://www.frontiersin.org/articles/file/downloadfile/1278078_supplementary-materials_datasheets_1_pdf/octet-stream/Data%20Sheet%201.pdf/3/1278078?isPublishedV2=False
Fakultät: M - Medizinische Fakultät
Fachrichtung: M - Chirurgie
M - Rechtsmedizin
Professur: M - Prof. Dr. Hans Joachim Schäfers
M - Keiner Professur zugeordnet
Sammlung:SciDok - Der Wissenschaftsserver der Universität des Saarlandes

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Diese Ressource wurde unter folgender Copyright-Bestimmung veröffentlicht: Lizenz von Creative Commons Creative Commons