ABSTRACT

This book provides an exploration of the ethics of cardiology practice. It provides a variety of frameworks for analyzing ethical issues that arise in cardiovascular medicine.

Cardiovascular medicine—the diagnosis and treatment of congenital and acquired diseases of the heart, major arteries, and veins—has seen rapid change in diagnosis, treatment, and the organization of practice in the last half of the twentieth and the beginning of the twenty first century. The complexity of these developments has resulted in increasing subspecialization, and many practitioners are challenged to stay abreast with the latest developments in cardiology. These changes also bring with them various ethical challenges. The chapters in this volume are divided by five broad areas of practice: beginning-of-life, end-of-life, transplantation and allocation of expensive or scarce resources, professionalism, and research. The case-based approach presented across the volume provides a perspective that will allow readers to reason through current and future ethical issues as they arise in this rapidly changing field.

Ethical Issues in Cardiovascular Medicine will be of interest to researchers working in bioethics, clinical ethics, and the philosophy of medicine, as well as practicing physicians, nurses, and students who work in cardiovascular medicine.

chapter |20 pages

Cardiovascular Ethics

An Introduction

part I|38 pages

Cardiovascular Ethical Issues at the Beginning of Life

chapter 2|9 pages

An Ethical Discussion of Cardiovascular Disease in Pregnancy

Peripartum Cardiomyopathy and Pulmonary Hypertension

chapter 3|15 pages

Severe Congenital Anomalies in the Fetus or Infant

“Best-Interests” Decisions for Ambiguous Outcomes

part III|39 pages

Allocation of Expensive/Scarce Resources

chapter 6|13 pages

Cardiac Implantable Electronic Device Reuse

Ethical Considerations and Enhancing Awareness

chapter 7|12 pages

Just Distribution of Cardiovascular Resources

The Left Ventricular Assist Device

part IV|61 pages

Professionalism in Cardiovascular Practice

chapter 10|16 pages

Ethical Challenges for Cardiology Societies

Conflicts of Interest and Clinical Practice Guidelines

chapter 11|13 pages

Error, Malpractice, and Complication

A Practical Approach

part V|52 pages

Cardiovascular Medical Research