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Heart. 2009 Jun;95(11):885-7. doi: 10.1136/hrt.2008.163782. Epub 2009 Jan 23.

Do cardiologists and cardiac surgeons need ethics? Achieving happiness for a drug user with endocarditis.

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1
Department of Cardiology, Bristol Heart Institute, Bristol, UK. angus.nightingale@uhbristol.nhs.uk

Abstract

Ethical dilemmas are commonplace in clinical cardiology. There has been a recent focus on ethical behaviour of cardiologists and debate about resource allocation and cost-effectiveness of new technologies. The case of an intravenous drug addict, with native aortic valve endocarditis complicated by a cerebral abscess and severe aortic regurgitation, is presented to illustrate some common ethical and moral dilemmas. The predominant theories in medical ethics, including the "Four-Principles Approach," is discussed, and a model to translate these ethical theories into a clinical decision-making tool is presented.

PMID:
19168473
DOI:
10.1136/hrt.2008.163782
[Indexed for MEDLINE]
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