A Loved One is Dying: When Should You Turn Off Their Pacemaker or Defibrillator?

Modern-day medical devices can extend a dying patient's life, but not for long.

There is little more distressing than watching a loved one dying, and yet their heart appears to keep on beating. The heart is not beating, but an electrical monitor continues to show blips of a “heartbeat.”

I have witnessed this hundreds of times, and although it doesn’t last long, family members become reasonably shocked and upset to see electrical activity on a heart monitor while the patient appears otherwise unresponsive and dead.

The invention of cardiac pacemakers (PM) and implantable cardio-defibrillators (ICD) has helped extend many patients’ lives by years. Yet, when death is near, the angst of deciding to turn off another form of “life support” arises. Many of these cardiac patients develop other terminal illnesses, such as cancer, and how to deal with the device before death is important.

Many “living wills” or “advanced directives” doc…