{"id":13868,"date":"2025-07-09T10:00:04","date_gmt":"2025-07-09T14:00:04","guid":{"rendered":"https:\/\/icardio.ca\/heart-failure-and-palliative-care-imminent-end-of-life\/"},"modified":"2025-07-16T22:08:03","modified_gmt":"2025-07-17T02:08:03","slug":"heart-failure-and-palliative-care-imminent-end-of-life","status":"publish","type":"post","link":"https:\/\/icardio.ca\/en\/heart-failure-and-palliative-care-imminent-end-of-life\/","title":{"rendered":"Heart failure and palliative care \u2013 Imminent end of life"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"13868\" class=\"elementor elementor-13868 elementor-13856\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-fb9dedb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"fb9dedb\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-088fd76\" data-id=\"088fd76\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-26379fa elementor-widget elementor-widget-heading\" data-id=\"26379fa\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Heart failure and palliative care \u2013 Imminent end of life<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1dd6986 elementor-align-center elementor-widget elementor-widget-post-info\" data-id=\"1dd6986\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"post-info.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ul class=\"elementor-inline-items elementor-icon-list-items elementor-post-info\">\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item elementor-repeater-item-6610920 elementor-inline-item\" itemprop=\"author\">\n\t\t\t\t\t\t<a href=\"https:\/\/icardio.ca\/en\/author\/icardio\/\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text elementor-post-info__item elementor-post-info__item--type-author\">\n\t\t\t\t\t\t\t<span class=\"elementor-post-info__item-prefix\">\u00c9crit par<\/span>\n\t\t\t\t\t\t\t\t\t\ticardio\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t<\/li>\n\t\t\t\t<li class=\"elementor-icon-list-item elementor-repeater-item-a890a19 elementor-inline-item\" itemprop=\"datePublished\">\n\t\t\t\t\t\t<a href=\"https:\/\/icardio.ca\/en\/2025\/07\/09\/\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text elementor-post-info__item elementor-post-info__item--type-date\">\n\t\t\t\t\t\t\t<span class=\"elementor-post-info__item-prefix\">Publi\u00e9 le <\/span>\n\t\t\t\t\t\t\t\t\t\t<time>9 July 2025<\/time>\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t<\/li>\n\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4cc21ce elementor-widget elementor-widget-elementskit-breadcrumb\" data-id=\"4cc21ce\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"elementskit-breadcrumb.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"ekit-wid-con\" ><ol class=\"ekit-breadcrumb\"><li class=\"ekit_breadcrumbs_start\"><a href=\"https:\/\/icardio.ca\/en\/\">Home<\/a><\/li> <li class=\"brd_sep\"> &raquo; <\/li> <li><a href=\"https:\/\/icardio.ca\/en\/category\/valvular-cardiovascular-diseases\/heart-failure\/\">Heart failure<\/a><\/li> <li class=\"brd_sep\"> &raquo; <\/li>  <li>Heart failure and palliative care \u2013 Imminent end of life<\/li><\/ol><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d446bdb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d446bdb\" data-element_type=\"section\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-54eda83\" data-id=\"54eda83\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2caa6b47 elementor-widget elementor-widget-theme-post-featured-image elementor-widget-image\" data-id=\"2caa6b47\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"theme-post-featured-image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1920\" height=\"1080\" src=\"https:\/\/icardio.ca\/wp-content\/uploads\/2025\/07\/coeur-saignant2.jpg\" class=\"attachment-full size-full wp-image-13869\" alt=\"\" srcset=\"https:\/\/icardio.ca\/wp-content\/uploads\/2025\/07\/coeur-saignant2.jpg 1920w, https:\/\/icardio.ca\/wp-content\/uploads\/2025\/07\/coeur-saignant2-300x169.jpg 300w, https:\/\/icardio.ca\/wp-content\/uploads\/2025\/07\/coeur-saignant2-1024x576.jpg 1024w, https:\/\/icardio.ca\/wp-content\/uploads\/2025\/07\/coeur-saignant2-768x432.jpg 768w, https:\/\/icardio.ca\/wp-content\/uploads\/2025\/07\/coeur-saignant2-1536x864.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b83700d e-flex e-con-boxed e-con e-parent\" data-id=\"b83700d\" data-element_type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-14fca0c e-flex e-con-boxed e-con e-child\" data-id=\"14fca0c\" data-element_type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-68390c5 elementor-widget elementor-widget-text-editor\" data-id=\"68390c5\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Reading the words \u201cpalliative care\u201d can have a strong impact and may even cause concern. However, it\u2019s important not to misunderstand their meaning. Like any severe chronic illness, heart failure involves two types of treatment.<\/p><p>The first is well known: so-called \u201cactive\u201d care, focused on controlling the disease, stabilizing its progression, and improving quality of life. The second, often less well understood, involves palliative care, which aims to enhance patient comfort and well-being.<\/p><p><strong>Five Key Areas<\/strong><\/p><p>This article explores five essential aspects of care for people living with advanced heart failure:<\/p><ul><li><a href=\"https:\/\/icardio.ca\/en\/heart-failure-and-palliative-care-the-active-treatment-phase\/\"><span style=\"text-decoration: underline;\"><em>A review of heart failure and active treatment<\/em><\/span><\/a><\/li><li><a href=\"https:\/\/icardio.ca\/en\/heart-failure-and-palliative-care-the-individualized-action-plan-component\/\"><span style=\"text-decoration: underline;\"><em>Development of a personalized action plan<\/em><\/span><\/a><\/li><li><a href=\"https:\/\/icardio.ca\/en\/heart-failure-and-palliative-care-supportive-care-component\/\"><span style=\"text-decoration: underline;\"><em>Supportive care in addition to active treatment<\/em><\/span><\/a><\/li><li><strong>Management at the end-of-life stage<\/strong><\/li><li><a href=\"https:\/\/icardio.ca\/en\/heart-failure-and-palliative-care-end-of-life-care-section\/\"><span style=\"text-decoration: underline;\"><em>End-of-life care<\/em><\/span><\/a><\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-751d037 e-flex e-con-boxed e-con e-parent\" data-id=\"751d037\" data-element_type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-63ab8e1 e-flex e-con-boxed e-con e-child\" data-id=\"63ab8e1\" data-element_type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-16c1060 elementor-widget elementor-widget-heading\" data-id=\"16c1060\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Recognizing when the end of life is near<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9ac239d elementor-widget elementor-widget-text-editor\" data-id=\"9ac239d\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>When it becomes clear that someone is likely to live only a few more months, it gives them \u2014 and their loved ones \u2014 the chance to prepare for a peaceful and dignified end of life, in the place they feel most comfortable, sometimes even at home.<\/p><p>Some signs can signal that the end of life is approaching:<\/p><ul><li>Gradual weight loss and reduced appetite<\/li><li>Difficulty swallowing or frequent coughing during meals<\/li><li>Needing to stay in bed or a chair most of the time<\/li><li>Sleeping more and being less alert<\/li><li>Feeling extremely tired and weak<\/li><li>Falling more often<\/li><li>Heart failure symptoms that are no longer controlled<\/li><li>Saying things like \u201cI\u2019ve had enough\u201d or expressing a sense of being worn out<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7f0cc2e e-flex e-con-boxed e-con e-parent\" data-id=\"7f0cc2e\" data-element_type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-4f2e0b7 e-flex e-con-boxed e-con e-child\" data-id=\"4f2e0b7\" data-element_type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1c31ec5 elementor-widget elementor-widget-heading\" data-id=\"1c31ec5\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">When active treatments no longer help<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4bc8943 elementor-widget elementor-widget-text-editor\" data-id=\"4bc8943\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>At a certain point, the focus of care naturally shifts more toward comfort when:<\/p><ul><li>usual treatments are no longer effective,<\/li><li>the person feels they no longer want to fight to extend life at any cost,<\/li><li>or they prefer to cut back or even stop active medications.<\/li><\/ul><p>\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0ae2110 e-flex e-con-boxed e-con e-parent\" data-id=\"0ae2110\" data-element_type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-b6e5d68 e-flex e-con-boxed e-con e-child\" data-id=\"b6e5d68\" data-element_type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7ea79b8 elementor-widget elementor-widget-heading\" data-id=\"7ea79b8\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">A fragile stability<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4c7bd90 elementor-widget elementor-widget-text-editor\" data-id=\"4c7bd90\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Unlike cancer, severe chronic illnesses such as heart failure don\u2019t allow for a clear timeline or prognosis. Their course is often unpredictable, with periods of relative stability interrupted by acute crises.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3ebaa2f e-con-full e-flex e-con e-child\" data-id=\"3ebaa2f\" data-element_type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-51029c4 elementor-widget elementor-widget-image\" data-id=\"51029c4\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"800\" height=\"534\" src=\"https:\/\/icardio.ca\/wp-content\/uploads\/2025\/07\/fragile-pissant-lit-1024x683.jpg\" class=\"attachment-large size-large wp-image-13872\" alt=\"\" srcset=\"https:\/\/icardio.ca\/wp-content\/uploads\/2025\/07\/fragile-pissant-lit-1024x683.jpg 1024w, https:\/\/icardio.ca\/wp-content\/uploads\/2025\/07\/fragile-pissant-lit-300x200.jpg 300w, https:\/\/icardio.ca\/wp-content\/uploads\/2025\/07\/fragile-pissant-lit-768x512.jpg 768w, https:\/\/icardio.ca\/wp-content\/uploads\/2025\/07\/fragile-pissant-lit-1536x1024.jpg 1536w, https:\/\/icardio.ca\/wp-content\/uploads\/2025\/07\/fragile-pissant-lit.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9e62184 e-flex e-con-boxed e-con e-parent\" data-id=\"9e62184\" data-element_type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-a2be302 e-flex e-con-boxed e-con e-child\" data-id=\"a2be302\" data-element_type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0df1ae2 elementor-widget elementor-widget-text-editor\" data-id=\"0df1ae2\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>People living with advanced heart failure often remain surprisingly functional despite their significant limitations \u2014 sometimes for quite a long time. However, their condition remains very fragile, and each acute episode tends to leave them weaker and less independent than before.<\/p><p>As the disease progresses, these crises usually become more frequent. Over time, it becomes harder to regain the same level of functioning after each one.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-645973a e-con-full e-flex e-con e-child\" data-id=\"645973a\" data-element_type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e2e1031 elementor-widget elementor-widget-image\" data-id=\"e2e1031\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"800\" height=\"533\" src=\"https:\/\/icardio.ca\/wp-content\/uploads\/2025\/07\/Courbe-Lunney-ENG.png\" class=\"attachment-large size-large wp-image-13880\" alt=\"\" srcset=\"https:\/\/icardio.ca\/wp-content\/uploads\/2025\/07\/Courbe-Lunney-ENG.png 1536w, https:\/\/icardio.ca\/wp-content\/uploads\/2025\/07\/Courbe-Lunney-ENG-300x200.png 300w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f97342b e-flex e-con-boxed e-con e-parent\" data-id=\"f97342b\" data-element_type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-f756969 e-flex e-con-boxed e-con e-child\" data-id=\"f756969\" data-element_type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d63c01b elementor-widget elementor-widget-text-editor\" data-id=\"d63c01b\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Finally, even a seemingly minor event \u2014 such as a urinary tract infection, a common cold, or another mild illness in otherwise healthy people \u2014 can sometimes trigger an irreversible decline in these vulnerable patients.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2f1d2c0 e-flex e-con-boxed e-con e-parent\" data-id=\"2f1d2c0\" data-element_type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-20a6844 e-flex e-con-boxed e-con e-child\" data-id=\"20a6844\" data-element_type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c322f79 elementor-widget elementor-widget-heading\" data-id=\"c322f79\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">An important reflection: everything should be discussed<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-98a9b2e elementor-widget elementor-widget-text-editor\" data-id=\"98a9b2e\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>A \u201cterminal crisis\u201d can happen at any time. When the disease starts moving in that direction, it\u2019s essential for the patient and their loved ones to be aware of it and feel free to discuss it openly with healthcare professionals.<\/p><p>With this in mind, the care team supports the patient in making medical decisions that align with their priorities and values. They make sure the patient understands the different possible interventions, along with the risks and benefits of each one.<\/p><p>Indeed, two people with the same illness may have very different goals, leading to very different treatment choices. For example, one patient may wish to stay alive at all costs, even if it means accepting intensive care and a mechanical ventilator, despite the impact on their independence. By contrast, others may prefer to limit hospital stays and focus on preserving quality of life and remaining autonomy, choosing less aggressive treatments. In all cases, medical decisions need to reflect the patient\u2019s own preferences.<\/p><p>It\u2019s also important to remember that the care team is multidisciplinary: it brings together a variety of professionals and places the patient at the center of the discussion \u2014 as the main decision-maker in their own care.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-def37d1 e-flex e-con-boxed e-con e-parent\" data-id=\"def37d1\" data-element_type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-225e5ed e-flex e-con-boxed e-con e-child\" data-id=\"225e5ed\" data-element_type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3bf50b8 elementor-widget elementor-widget-heading\" data-id=\"3bf50b8\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Personal and varied goals<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-71dedcd elementor-widget elementor-widget-text-editor\" data-id=\"71dedcd\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Everyone has their own way of expressing what matters most: staying at home, avoiding pain, refusing hospitalizations, or holding on to witness an important life event.<\/p><p>No approach is better than another, as long as it reflects the patient\u2019s true wishes.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c1ba99b e-flex e-con-boxed e-con e-parent\" data-id=\"c1ba99b\" data-element_type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-6ca78be e-flex e-con-boxed e-con e-child\" data-id=\"6ca78be\" data-element_type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e1dc809 elementor-widget elementor-widget-heading\" data-id=\"e1dc809\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Questions to help guide decisions<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0079e91 elementor-widget elementor-widget-text-editor\" data-id=\"0079e91\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Certain questions can help patients reflect on their own care goals:<\/p><ul><li>What do I really know about my illness?<\/li><li>What are my priorities?<\/li><li>How far am I willing to go to prolong my life?<\/li><li>Have I chosen someone who can speak for me if I\u2019m unable to?<\/li><\/ul><p>\u00a0<\/p><p>The answers to these \u2014 and to other, more personal questions \u2014 should be at the heart of future medical decisions. That\u2019s why it\u2019s so important to take the time to think about them and clearly share your wishes with the care team.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-308cd32 e-con-full e-flex e-con e-child\" data-id=\"308cd32\" data-element_type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-dece273 elementor-widget elementor-widget-image\" data-id=\"dece273\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"534\" src=\"https:\/\/icardio.ca\/wp-content\/uploads\/2025\/07\/paliatif-1024x683.jpg\" class=\"attachment-large size-large wp-image-13870\" alt=\"\" srcset=\"https:\/\/icardio.ca\/wp-content\/uploads\/2025\/07\/paliatif-1024x683.jpg 1024w, https:\/\/icardio.ca\/wp-content\/uploads\/2025\/07\/paliatif-300x200.jpg 300w, https:\/\/icardio.ca\/wp-content\/uploads\/2025\/07\/paliatif-768x512.jpg 768w, https:\/\/icardio.ca\/wp-content\/uploads\/2025\/07\/paliatif-1536x1024.jpg 1536w, https:\/\/icardio.ca\/wp-content\/uploads\/2025\/07\/paliatif.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c39bf3a e-flex e-con-boxed e-con e-parent\" data-id=\"c39bf3a\" data-element_type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-0898e2f e-flex e-con-boxed e-con e-child\" data-id=\"0898e2f\" data-element_type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5973ff2 elementor-widget elementor-widget-heading\" data-id=\"5973ff2\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">The level of medical intervention<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-12021e8 elementor-widget elementor-widget-text-editor\" data-id=\"12021e8\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Once care goals are clearly defined, healthcare professionals record the patient\u2019s preferences in a document called the <em>level of medical intervention<\/em>. This document becomes part of the medical record, and a copy is usually kept at the patient\u2019s home.<\/p><p>This plan serves as a roadmap, determined by the patient, specifying the intensity of care they would want if their condition worsens. For example, it can state whether or not they accept:<\/p><ul><li>Cardiopulmonary resuscitation (CPR), which involves chest compressions, electric shocks, or intubation to support breathing with a mechanical ventilator.<\/li><li>Advanced treatments such as dialysis or other forms of external life support.<\/li><li>Keeping or stopping the defibrillator function in patients with an implanted defibrillator-pacemaker.<\/li><li>The use of medical assistance in dying.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-642e205 e-con-full e-flex e-con e-child\" data-id=\"642e205\" data-element_type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-aa05fbb elementor-widget elementor-widget-image\" data-id=\"aa05fbb\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" src=\"https:\/\/icardio.ca\/wp-content\/uploads\/2025\/07\/niveau-soins-1024x682.jpg\" class=\"attachment-large size-large wp-image-13873\" alt=\"\" srcset=\"https:\/\/icardio.ca\/wp-content\/uploads\/2025\/07\/niveau-soins-1024x682.jpg 1024w, https:\/\/icardio.ca\/wp-content\/uploads\/2025\/07\/niveau-soins-300x200.jpg 300w, https:\/\/icardio.ca\/wp-content\/uploads\/2025\/07\/niveau-soins-768x512.jpg 768w, https:\/\/icardio.ca\/wp-content\/uploads\/2025\/07\/niveau-soins.jpg 1280w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8701542 e-flex e-con-boxed e-con e-parent\" data-id=\"8701542\" data-element_type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-f829928 e-flex e-con-boxed e-con e-child\" data-id=\"f829928\" data-element_type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d829374 elementor-widget elementor-widget-heading\" data-id=\"d829374\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">There is no rush to decide everything right away<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3b11563 elementor-widget elementor-widget-text-editor\" data-id=\"3b11563\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>It\u2019s important to understand that these decisions don\u2019t all need to be made immediately. Taking time to reflect, and discussing with loved ones, can help the patient feel more at ease with such major choices. These decisions can always be revisited and adjusted later \u2014 <strong>nothing is final<\/strong>.<\/p><p>Even if there\u2019s no urgent need to decide, it remains essential to talk about it. For some patients, palliative care above all means improving comfort while continuing active treatment of their heart failure.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2a75913 e-flex e-con-boxed e-con e-parent\" data-id=\"2a75913\" data-element_type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-1f87dea e-flex e-con-boxed e-con e-child\" data-id=\"1f87dea\" data-element_type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-df56a9d elementor-widget elementor-widget-heading\" data-id=\"df56a9d\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">But it has to be discussed<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-45634d0 elementor-widget elementor-widget-text-editor\" data-id=\"45634d0\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Unfortunately, even today, more than half of patients with advanced heart failure have never had an in-depth conversation with their care team about their prognosis. It\u2019s rare to discuss what kind of care they would want in the event of an acute episode, or their wishes regarding CPR.<\/p><p>And yet, nothing is more important at the end of life than respecting the patient\u2019s wishes.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2346cca e-flex e-con-boxed e-con e-parent\" data-id=\"2346cca\" data-element_type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-916cad3 e-flex e-con-boxed e-con e-child\" data-id=\"916cad3\" data-element_type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3564350 elementor-widget elementor-widget-heading\" data-id=\"3564350\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Turning off the defibrillator function of a \u201csuper\u201d pacemaker<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6a9d4f9 elementor-widget elementor-widget-text-editor\" data-id=\"6a9d4f9\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Some people with heart failure have a pacemaker with an added feature: it can detect and stop potentially fatal heart rhythm problems by delivering an electric shock to the heart. This combined device is called an implantable cardioverter-defibrillator (ICD), or sometimes simply a \u201cdefibrillator-pacemaker.\u201d<\/p><p>For a patient who decides they do not want cardiopulmonary resuscitation (CPR), the defibrillator function should also be turned off. This adjustment is very simple: the device can be reprogrammed accordingly.<\/p><p>The device remains in place and continues to provide the pacing function, which can help maintain comfort. It\u2019s important for patients to know that they can choose at any time to turn the defibrillator function off \u2014 or back on \u2014 depending on their wishes and condition.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4c93c31 e-con-full e-flex e-con e-child\" data-id=\"4c93c31\" data-element_type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6afd28e elementor-widget elementor-widget-image\" data-id=\"6afd28e\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"290\" src=\"https:\/\/icardio.ca\/wp-content\/uploads\/2024\/06\/on-off-300x290.png\" class=\"attachment-medium size-medium wp-image-7492\" alt=\"\" srcset=\"https:\/\/icardio.ca\/wp-content\/uploads\/2024\/06\/on-off-300x290.png 300w, https:\/\/icardio.ca\/wp-content\/uploads\/2024\/06\/on-off-1024x990.png 1024w, https:\/\/icardio.ca\/wp-content\/uploads\/2024\/06\/on-off-768x743.png 768w, https:\/\/icardio.ca\/wp-content\/uploads\/2024\/06\/on-off-e1717451237437.png 400w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9a531e7 e-flex e-con-boxed e-con e-parent\" data-id=\"9a531e7\" data-element_type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-f975bcf e-flex e-con-boxed e-con e-child\" data-id=\"f975bcf\" data-element_type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-dd79917 elementor-widget elementor-widget-heading\" data-id=\"dd79917\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Before replacing a pacemaker<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c4ad43c elementor-widget elementor-widget-text-editor\" data-id=\"c4ad43c\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>When a pacemaker needs to be replaced because the battery is reaching the end of its life, it\u2019s a good time to discuss whether the defibrillator function is still appropriate.<\/p><p>This discussion takes into account the patient\u2019s care goals, their age, how much severe heart failure is affecting their quality of life, and the damage already done to other organs such as the kidneys and liver.<\/p><p>This is not a decision that needs to be made in a rush \u2014 it\u2019s an opportunity for thoughtful reflection with the care team and loved ones. If the defibrillator function is no longer desired but pacing remains helpful for comfort, a simple pacemaker can be implanted instead.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-c59d2a6\" data-id=\"c59d2a6\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5ec5735 elementor-search-form--skin-classic elementor-search-form--button-type-icon elementor-search-form--icon-search elementor-widget elementor-widget-global elementor-global-6511 elementor-global-3416 elementor-widget-search-form\" data-id=\"5ec5735\" data-element_type=\"widget\" data-settings=\"{&quot;skin&quot;:&quot;classic&quot;,&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"search-form.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<search role=\"search\">\n\t\t\t<form class=\"elementor-search-form\" action=\"https:\/\/icardio.ca\/en\/\" method=\"get\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-search-form__container\">\n\t\t\t\t\t<label class=\"elementor-screen-only\" for=\"elementor-search-form-5ec5735\">Search<\/label>\n\n\t\t\t\t\t\n\t\t\t\t\t<input id=\"elementor-search-form-5ec5735\" placeholder=\"Search...\" class=\"elementor-search-form__input\" type=\"search\" name=\"s\" value=\"\">\n\t\t\t\t\t<input type='hidden' name='lang' value='en' \/>\n\t\t\t\t\t\t\t\t\t\t\t<button class=\"elementor-search-form__submit\" type=\"submit\" aria-label=\"Search\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"e-font-icon-svg-container\"><svg class=\"fa fa-search e-font-icon-svg e-fas-search\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M505 442.7L405.3 343c-4.5-4.5-10.6-7-17-7H372c27.6-35.3 44-79.7 44-128C416 93.1 322.9 0 208 0S0 93.1 0 208s93.1 208 208 208c48.3 0 92.7-16.4 128-44v16.3c0 6.4 2.5 12.5 7 17l99.7 99.7c9.4 9.4 24.6 9.4 33.9 0l28.3-28.3c9.4-9.4 9.4-24.6.1-34zM208 336c-70.7 0-128-57.2-128-128 0-70.7 57.2-128 128-128 70.7 0 128 57.2 128 128 0 70.7-57.2 128-128 128z\"><\/path><\/svg><\/div>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/button>\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/form>\n\t\t<\/search>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-515dff8d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"515dff8d\" data-element_type=\"section\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-72235494\" data-id=\"72235494\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-81fce3d elementor-widget elementor-widget-global elementor-global-6517 elementor-global-3406 elementor-widget-heading\" data-id=\"81fce3d\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Share this article<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-12eded0 e-flex e-con-boxed e-con e-parent\" data-id=\"12eded0\" data-element_type=\"container\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-199f7ba uael-share-buttons--view-text elementor-share-buttons--align-center uael-stylex-inline elementor-grid-0 elementor-widget elementor-widget-global elementor-global-6519 elementor-global-3396 elementor-widget-uael-social-share\" data-id=\"199f7ba\" data-element_type=\"widget\" data-settings=\"{&quot;alignment&quot;:&quot;center&quot;,&quot;row_gap&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:15,&quot;sizes&quot;:[]},&quot;button_size&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:0.75,&quot;sizes&quot;:[]},&quot;button_height&quot;:{&quot;unit&quot;:&quot;em&quot;,&quot;size&quot;:5,&quot;sizes&quot;:[]},&quot;columns&quot;:&quot;0&quot;,&quot;column_gap&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:10,&quot;sizes&quot;:[]},&quot;column_gap_laptop&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;column_gap_tablet_extra&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;column_gap_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:10,&quot;sizes&quot;:[]},&quot;column_gap_mobile_extra&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;column_gap_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:10,&quot;sizes&quot;:[]},&quot;row_gap_laptop&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;row_gap_tablet_extra&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;row_gap_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:0,&quot;sizes&quot;:[]},&quot;row_gap_mobile_extra&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;row_gap_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:10,&quot;sizes&quot;:[]},&quot;button_size_laptop&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;button_size_tablet_extra&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;button_size_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;button_size_mobile_extra&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;button_size_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;button_height_laptop&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;button_height_tablet_extra&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;button_height_tablet&quot;:{&quot;unit&quot;:&quot;em&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;button_height_mobile_extra&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;button_height_mobile&quot;:{&quot;unit&quot;:&quot;em&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;border_size&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:2,&quot;sizes&quot;:[]},&quot;border_size_laptop&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;border_size_tablet_extra&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;border_size_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;border_size_mobile_extra&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;border_size_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"uael-social-share.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\n\t\t<div class=\"uael-style-inline uael-container uael-floating-align-\" data-pin_data_url=\"\" data-share_url_type=\"current_page\" data-share_url=\"\">\n\t\t\t<div class=\"elementor-grid uael-floating-align-\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-grid-item\">\n\t\t\t\t\t\t\t\t\t\t\t\t<a  class=\"uael-share-btn-facebook\">\n\t\t\t\t\t\t\t<div class=\"uael-share-btn elementor-animation-pulse uaelbtn-shape-circle uaelbtn--skin-boxed\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"uael-share-btn__text\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"uael-share-btn__title\">\n\t\t\t\t\t\t\t\t\t\t\t\tFacebook\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-grid-item\">\n\t\t\t\t\t\t\t\t\t\t\t\t<a  class=\"uael-share-btn-twitter\">\n\t\t\t\t\t\t\t<div class=\"uael-share-btn elementor-animation-pulse uaelbtn-shape-circle uaelbtn--skin-boxed\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"uael-share-btn__text\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"uael-share-btn__title\">\n\t\t\t\t\t\t\t\t\t\t\t\tTwitter\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-grid-item\">\n\t\t\t\t\t\t\t\t\t\t\t\t<a  class=\"uael-share-btn-linkedin\">\n\t\t\t\t\t\t\t<div class=\"uael-share-btn elementor-animation-pulse uaelbtn-shape-circle uaelbtn--skin-boxed\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"uael-share-btn__text\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"uael-share-btn__title\">\n\t\t\t\t\t\t\t\t\t\t\t\tLinkedin\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-grid-item\">\n\t\t\t\t\t\t\t\t\t\t\t\t<a  class=\"uael-share-btn-whatsapp\">\n\t\t\t\t\t\t\t<div class=\"uael-share-btn elementor-animation-pulse uaelbtn-shape-circle uaelbtn--skin-boxed\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"uael-share-btn__text\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"uael-share-btn__title\">\n\t\t\t\t\t\t\t\t\t\t\t\tWhatsapp\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-grid-item\">\n\t\t\t\t\t\t\t\t\t\t\t\t<a  class=\"uael-share-btn-email\">\n\t\t\t\t\t\t\t<div class=\"uael-share-btn elementor-animation-pulse uaelbtn-shape-circle uaelbtn--skin-boxed\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"uael-share-btn__text\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"uael-share-btn__title\">\n\t\t\t\t\t\t\t\t\t\t\t\tEmail\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"elementor-grid-item\">\n\t\t\t\t\t\t\t\t\t\t\t\t<a  class=\"uael-share-btn-print\">\n\t\t\t\t\t\t\t<div class=\"uael-share-btn elementor-animation-pulse uaelbtn-shape-circle uaelbtn--skin-boxed\">\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"uael-share-btn__text\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"uael-share-btn__title\">\n\t\t\t\t\t\t\t\t\t\t\t\tPrint\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-a28e6b8 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a28e6b8\" data-element_type=\"section\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-44961b4\" data-id=\"44961b4\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a4c1be8 elementor-widget elementor-widget-global elementor-global-6513 elementor-global-3413 elementor-widget-heading\" data-id=\"a4c1be8\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Related articles<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-246972f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"246972f\" data-element_type=\"section\" data-settings=\"{&quot;ekit_has_onepagescroll_dot&quot;:&quot;yes&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-94a8515\" data-id=\"94a8515\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-43a10fe elementor-widget elementor-widget-global elementor-global-6515 elementor-global-3410 elementor-widget-heading\" data-id=\"43a10fe\" data-element_type=\"widget\" data-settings=\"{&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Latest articles<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0844166 elementor-grid-1 elementor-posts--thumbnail-left elementor-grid-tablet-2 elementor-grid-mobile-1 elementor-widget elementor-widget-global elementor-global-6523 elementor-global-3419 elementor-widget-posts\" data-id=\"0844166\" data-element_type=\"widget\" data-settings=\"{&quot;classic_columns&quot;:&quot;1&quot;,&quot;classic_row_gap&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:20,&quot;sizes&quot;:[]},&quot;classic_columns_tablet&quot;:&quot;2&quot;,&quot;classic_columns_mobile&quot;:&quot;1&quot;,&quot;classic_row_gap_laptop&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;classic_row_gap_tablet_extra&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;classic_row_gap_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;classic_row_gap_mobile_extra&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;classic_row_gap_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;ekit_we_effect_on&quot;:&quot;none&quot;}\" data-widget_type=\"posts.classic\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-posts-container elementor-posts elementor-posts--skin-classic elementor-grid\" role=\"list\">\n\t\t\t\t<article class=\"elementor-post elementor-grid-item post-17061 post type-post status-publish format-standard has-post-thumbnail hentry category-valvular-cardiovascular-diseases tag-articles-mis-de-lavant-en\" role=\"listitem\">\n\t\t\t\t<a class=\"elementor-post__thumbnail__link\" href=\"https:\/\/icardio.ca\/en\/the-heart-team\/\" tabindex=\"-1\" >\n\t\t\t<div class=\"elementor-post__thumbnail\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"200\" src=\"https:\/\/icardio.ca\/wp-content\/uploads\/2026\/04\/coeur-heart-team-300x200.jpg\" class=\"attachment-medium size-medium wp-image-17062\" alt=\"\" srcset=\"https:\/\/icardio.ca\/wp-content\/uploads\/2026\/04\/coeur-heart-team-300x200.jpg 300w, https:\/\/icardio.ca\/wp-content\/uploads\/2026\/04\/coeur-heart-team-1024x683.jpg 1024w, https:\/\/icardio.ca\/wp-content\/uploads\/2026\/04\/coeur-heart-team-768x512.jpg 768w, https:\/\/icardio.ca\/wp-content\/uploads\/2026\/04\/coeur-heart-team-1536x1024.jpg 1536w, https:\/\/icardio.ca\/wp-content\/uploads\/2026\/04\/coeur-heart-team-2048x1365.jpg 2048w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/div>\n\t\t<\/a>\n\t\t\t\t<div class=\"elementor-post__text\">\n\t\t\t\t<h5 class=\"elementor-post__title\">\n\t\t\t<a href=\"https:\/\/icardio.ca\/en\/the-heart-team\/\" >\n\t\t\t\tThe Heart Team\t\t\t<\/a>\n\t\t<\/h5>\n\t\t\t\t<div class=\"elementor-post__meta-data\">\n\t\t\t\t\t<span class=\"elementor-post-date\">\n\t\t\t05\/04\/2026\t\t<\/span>\n\t\t\t\t<\/div>\n\t\t\n\t\t<a class=\"elementor-post__read-more\" href=\"https:\/\/icardio.ca\/en\/the-heart-team\/\" aria-label=\"Read more about The Heart Team\" tabindex=\"-1\" >\n\t\t\tRead more \u00bb\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t<article class=\"elementor-post elementor-grid-item post-17024 post type-post status-publish format-standard has-post-thumbnail hentry category-food tag-articles-mis-de-lavant-en\" role=\"listitem\">\n\t\t\t\t<a class=\"elementor-post__thumbnail__link\" href=\"https:\/\/icardio.ca\/en\/mustard-salmon-escalope\/\" tabindex=\"-1\" >\n\t\t\t<div class=\"elementor-post__thumbnail\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"200\" src=\"https:\/\/icardio.ca\/wp-content\/uploads\/2026\/03\/Saumon-a-la-moutarde-300x200.jpg\" class=\"attachment-medium size-medium wp-image-17025\" alt=\"\" srcset=\"https:\/\/icardio.ca\/wp-content\/uploads\/2026\/03\/Saumon-a-la-moutarde-300x200.jpg 300w, https:\/\/icardio.ca\/wp-content\/uploads\/2026\/03\/Saumon-a-la-moutarde-1024x683.jpg 1024w, https:\/\/icardio.ca\/wp-content\/uploads\/2026\/03\/Saumon-a-la-moutarde-768x512.jpg 768w, https:\/\/icardio.ca\/wp-content\/uploads\/2026\/03\/Saumon-a-la-moutarde-1536x1024.jpg 1536w, https:\/\/icardio.ca\/wp-content\/uploads\/2026\/03\/Saumon-a-la-moutarde-2048x1365.jpg 2048w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/div>\n\t\t<\/a>\n\t\t\t\t<div class=\"elementor-post__text\">\n\t\t\t\t<h5 class=\"elementor-post__title\">\n\t\t\t<a href=\"https:\/\/icardio.ca\/en\/mustard-salmon-escalope\/\" >\n\t\t\t\tMustard Salmon Escalope\t\t\t<\/a>\n\t\t<\/h5>\n\t\t\t\t<div class=\"elementor-post__meta-data\">\n\t\t\t\t\t<span class=\"elementor-post-date\">\n\t\t\t26\/03\/2026\t\t<\/span>\n\t\t\t\t<\/div>\n\t\t\n\t\t<a class=\"elementor-post__read-more\" href=\"https:\/\/icardio.ca\/en\/mustard-salmon-escalope\/\" aria-label=\"Read more about Mustard Salmon Escalope\" tabindex=\"-1\" >\n\t\t\tRead more \u00bb\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t<article class=\"elementor-post elementor-grid-item post-16985 post type-post status-publish format-standard has-post-thumbnail hentry category-history-of-cardiology tag-articles-mis-de-lavant-en\" role=\"listitem\">\n\t\t\t\t<a class=\"elementor-post__thumbnail__link\" href=\"https:\/\/icardio.ca\/en\/episode-17-development-of-coronary-artery-bypass-surgery\/\" tabindex=\"-1\" >\n\t\t\t<div class=\"elementor-post__thumbnail\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"200\" src=\"https:\/\/icardio.ca\/wp-content\/uploads\/2026\/03\/coeur-histoire-17-300x200.jpg\" class=\"attachment-medium size-medium wp-image-16986\" alt=\"\" srcset=\"https:\/\/icardio.ca\/wp-content\/uploads\/2026\/03\/coeur-histoire-17-300x200.jpg 300w, https:\/\/icardio.ca\/wp-content\/uploads\/2026\/03\/coeur-histoire-17-1024x683.jpg 1024w, https:\/\/icardio.ca\/wp-content\/uploads\/2026\/03\/coeur-histoire-17-768x512.jpg 768w, https:\/\/icardio.ca\/wp-content\/uploads\/2026\/03\/coeur-histoire-17-1536x1024.jpg 1536w, https:\/\/icardio.ca\/wp-content\/uploads\/2026\/03\/coeur-histoire-17-2048x1365.jpg 2048w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/div>\n\t\t<\/a>\n\t\t\t\t<div class=\"elementor-post__text\">\n\t\t\t\t<h5 class=\"elementor-post__title\">\n\t\t\t<a href=\"https:\/\/icardio.ca\/en\/episode-17-development-of-coronary-artery-bypass-surgery\/\" >\n\t\t\t\tEpisode 17 &#8211; Development of Coronary Artery Bypass Surgery\t\t\t<\/a>\n\t\t<\/h5>\n\t\t\t\t<div class=\"elementor-post__meta-data\">\n\t\t\t\t\t<span class=\"elementor-post-date\">\n\t\t\t24\/03\/2026\t\t<\/span>\n\t\t\t\t<\/div>\n\t\t\n\t\t<a class=\"elementor-post__read-more\" href=\"https:\/\/icardio.ca\/en\/episode-17-development-of-coronary-artery-bypass-surgery\/\" aria-label=\"Read more about Episode 17 &#8211; Development of Coronary Artery Bypass Surgery\" tabindex=\"-1\" >\n\t\t\tRead more \u00bb\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t<article class=\"elementor-post elementor-grid-item post-16944 post type-post status-publish format-standard has-post-thumbnail hentry category-congenital-diseases tag-articles-mis-de-lavant-en\" role=\"listitem\">\n\t\t\t\t<a class=\"elementor-post__thumbnail__link\" href=\"https:\/\/icardio.ca\/en\/atrial-septal-defect-asd\/\" tabindex=\"-1\" >\n\t\t\t<div class=\"elementor-post__thumbnail\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"169\" src=\"https:\/\/icardio.ca\/wp-content\/uploads\/2026\/03\/coeur-trou-cia-300x169.jpg\" class=\"attachment-medium size-medium wp-image-16945\" alt=\"\" srcset=\"https:\/\/icardio.ca\/wp-content\/uploads\/2026\/03\/coeur-trou-cia-300x169.jpg 300w, https:\/\/icardio.ca\/wp-content\/uploads\/2026\/03\/coeur-trou-cia-1024x577.jpg 1024w, https:\/\/icardio.ca\/wp-content\/uploads\/2026\/03\/coeur-trou-cia-768x433.jpg 768w, https:\/\/icardio.ca\/wp-content\/uploads\/2026\/03\/coeur-trou-cia-1536x865.jpg 1536w, https:\/\/icardio.ca\/wp-content\/uploads\/2026\/03\/coeur-trou-cia-2048x1154.jpg 2048w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/div>\n\t\t<\/a>\n\t\t\t\t<div class=\"elementor-post__text\">\n\t\t\t\t<h5 class=\"elementor-post__title\">\n\t\t\t<a href=\"https:\/\/icardio.ca\/en\/atrial-septal-defect-asd\/\" >\n\t\t\t\tAtrial Septal Defect (ASD)\t\t\t<\/a>\n\t\t<\/h5>\n\t\t\t\t<div class=\"elementor-post__meta-data\">\n\t\t\t\t\t<span class=\"elementor-post-date\">\n\t\t\t23\/03\/2026\t\t<\/span>\n\t\t\t\t<\/div>\n\t\t\n\t\t<a class=\"elementor-post__read-more\" href=\"https:\/\/icardio.ca\/en\/atrial-septal-defect-asd\/\" aria-label=\"Read more about Atrial Septal Defect (ASD)\" tabindex=\"-1\" >\n\t\t\tRead more \u00bb\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t<article class=\"elementor-post elementor-grid-item post-16702 post type-post status-publish format-standard has-post-thumbnail hentry category-maladies-valvulaires-cardiovasculaires tag-articles-mis-de-lavant\" role=\"listitem\">\n\t\t\t\t<a class=\"elementor-post__thumbnail__link\" href=\"https:\/\/icardio.ca\/en\/cardiac-myxoma\/\" tabindex=\"-1\" >\n\t\t\t<div class=\"elementor-post__thumbnail\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"199\" src=\"https:\/\/icardio.ca\/wp-content\/uploads\/2026\/02\/coeur-bille-300x199.jpg\" class=\"attachment-medium size-medium wp-image-16703\" alt=\"\" srcset=\"https:\/\/icardio.ca\/wp-content\/uploads\/2026\/02\/coeur-bille-300x199.jpg 300w, https:\/\/icardio.ca\/wp-content\/uploads\/2026\/02\/coeur-bille-1024x681.jpg 1024w, https:\/\/icardio.ca\/wp-content\/uploads\/2026\/02\/coeur-bille-768x511.jpg 768w, https:\/\/icardio.ca\/wp-content\/uploads\/2026\/02\/coeur-bille.jpg 1280w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/div>\n\t\t<\/a>\n\t\t\t\t<div class=\"elementor-post__text\">\n\t\t\t\t<h5 class=\"elementor-post__title\">\n\t\t\t<a href=\"https:\/\/icardio.ca\/en\/cardiac-myxoma\/\" >\n\t\t\t\tCardiac myxoma\t\t\t<\/a>\n\t\t<\/h5>\n\t\t\t\t<div class=\"elementor-post__meta-data\">\n\t\t\t\t\t<span class=\"elementor-post-date\">\n\t\t\t25\/02\/2026\t\t<\/span>\n\t\t\t\t<\/div>\n\t\t\n\t\t<a class=\"elementor-post__read-more\" href=\"https:\/\/icardio.ca\/en\/cardiac-myxoma\/\" aria-label=\"Read more about Cardiac myxoma\" tabindex=\"-1\" >\n\t\t\tRead more \u00bb\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t<article class=\"elementor-post elementor-grid-item post-16650 post type-post status-publish format-standard has-post-thumbnail hentry category-arrhythmia category-valvular-cardiovascular-diseases tag-articles-mis-de-lavant-en\" role=\"listitem\">\n\t\t\t\t<a class=\"elementor-post__thumbnail__link\" href=\"https:\/\/icardio.ca\/en\/commotio-cordis\/\" tabindex=\"-1\" >\n\t\t\t<div class=\"elementor-post__thumbnail\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"200\" src=\"https:\/\/icardio.ca\/wp-content\/uploads\/2026\/02\/coeur-vague-300x200.jpg\" class=\"attachment-medium size-medium wp-image-16651\" alt=\"\" srcset=\"https:\/\/icardio.ca\/wp-content\/uploads\/2026\/02\/coeur-vague-300x200.jpg 300w, https:\/\/icardio.ca\/wp-content\/uploads\/2026\/02\/coeur-vague-1024x682.jpg 1024w, https:\/\/icardio.ca\/wp-content\/uploads\/2026\/02\/coeur-vague-768x512.jpg 768w, https:\/\/icardio.ca\/wp-content\/uploads\/2026\/02\/coeur-vague.jpg 1280w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/div>\n\t\t<\/a>\n\t\t\t\t<div class=\"elementor-post__text\">\n\t\t\t\t<h5 class=\"elementor-post__title\">\n\t\t\t<a href=\"https:\/\/icardio.ca\/en\/commotio-cordis\/\" >\n\t\t\t\tCommotio Cordis\t\t\t<\/a>\n\t\t<\/h5>\n\t\t\t\t<div class=\"elementor-post__meta-data\">\n\t\t\t\t\t<span class=\"elementor-post-date\">\n\t\t\t24\/02\/2026\t\t<\/span>\n\t\t\t\t<\/div>\n\t\t\n\t\t<a class=\"elementor-post__read-more\" href=\"https:\/\/icardio.ca\/en\/commotio-cordis\/\" aria-label=\"Read more about Commotio Cordis\" tabindex=\"-1\" >\n\t\t\tRead more \u00bb\t\t<\/a>\n\n\t\t\t\t<\/div>\n\t\t\t\t<\/article>\n\t\t\t\t<\/div>\n\t\t\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Knowing that a patient with heart failure is at risk of dying in the coming months helps prepare both the patient and their loved ones to express their life goals and plan the appropriate intensity of future care.<\/p>\n","protected":false},"author":4,"featured_media":13869,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[59,57],"tags":[65],"class_list":["post-13868","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-heart-failure","category-valvular-cardiovascular-diseases","tag-articles-mis-de-lavant-en"],"_links":{"self":[{"href":"https:\/\/icardio.ca\/en\/wp-json\/wp\/v2\/posts\/13868","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/icardio.ca\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/icardio.ca\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/icardio.ca\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/icardio.ca\/en\/wp-json\/wp\/v2\/comments?post=13868"}],"version-history":[{"count":12,"href":"https:\/\/icardio.ca\/en\/wp-json\/wp\/v2\/posts\/13868\/revisions"}],"predecessor-version":[{"id":14014,"href":"https:\/\/icardio.ca\/en\/wp-json\/wp\/v2\/posts\/13868\/revisions\/14014"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/icardio.ca\/en\/wp-json\/wp\/v2\/media\/13869"}],"wp:attachment":[{"href":"https:\/\/icardio.ca\/en\/wp-json\/wp\/v2\/media?parent=13868"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/icardio.ca\/en\/wp-json\/wp\/v2\/categories?post=13868"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/icardio.ca\/en\/wp-json\/wp\/v2\/tags?post=13868"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}