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Ethical Issues in Cardiovascular Medicine

ISBN: 9781032146317
ISBN: 9781032146317
Διαστάσεις 23 × 15 cm



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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.


Cardiovascular Ethics: An Introduction

David M. Zientek


Part I: Cardiovascular Ethical Issues at the Beginning of Life



    1. Ethical Issues in Reproductive Genetic Testing for Cardiovascular Disease


Sara Cherny and Dawn Allain



    1. An Ethical Discussion of Cardiovascular Disease in Pregnancy: Peripartum Cardiomyopathy and Pulmonary Hypertension


Pamela Jordi and James Smith, Jr.



    1. Severe Congenital Anomalies in the Fetus or Infant: ‘Best-Interests” Decisions for Ambiguous Outcomes


Dalia Feltman


Part II: Cardiovascular Ethical Issues at the End-of-Life



    1. Palliative Care Issues in Advanced Cardiac Disease.


Sara E. Wordingham and Keith M. Swetz



    1. Deactivating Cardiac Implantable Electronic Devices at End of Life


Keith Swetz, Sara Wordingham, Daniel Matlock, and David M. Zientek


Part III: Transplantation and Allocation of Expensive/Scarce Resources



    1. Cardiac Implantable Electronic Device Reuse: Ethical Considerations and Enhancing Awareness


Behzad Pavri



    1. Just Distribution of Cardiovascular Resources: The Left Ventricular Assist Devices.


Kayhan Parsi and David M. Zientek



    1. The Cardio-Ethics of Endocarditis: Ethical and Moral Challenges of Noncompliance


Alexandra Charrow and James N. Kirkpatrick


Part IV: Professionalism in Cardiovascular Practice



    1. Conflicts of Interest in Daily Practice


David M. Zientek



    1. Ethical Challenges for Cardiology Societies: Conflicts of Interest and Clinical Practice Guidelines


Mark A. Hoffman & James N. Kirkpatrick



    1. Error, Malpractice, and Complication: A Practical Approach


David M. Zientek



    1. Ethical Practice in Cardiovascular Nursing


Joy Penticuff & Angela Clark


Part V: Cardiovascular Medical Research



    1. Ethics in Cardiovascular Research


Ana S. Iltis



    1. Early Termination of Cardiovascular Research Protocols


Emily Anderson & Teresa Lynne Caples