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May 11, 2011

Pacemakers and End-of-Life Decisions

JAMA. 2011;305(18):1858-1859. doi:10.1001/jama.2011.581

To the Editor: We empathize with the challenges faced by Dr Powell in deciding whether her mother, who had dementia and heart block, should receive a pacemaker.1 We would like to clarify some of the misperceptions around pacemaker deactivation conveyed to the author and expressed in the essay, which appear to have complicated the decision-making process.

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