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.
Table of Contents
Cardiovascular Ethics: An Introduction
David M. Zientek
Part I: Cardiovascular Ethical Issues at the Beginning of Life
- Ethical Issues in Reproductive Genetic Testing for Cardiovascular Disease
- An Ethical Discussion of Cardiovascular Disease in Pregnancy: Peripartum Cardiomyopathy and Pulmonary Hypertension
- Severe Congenital Anomalies in the Fetus or Infant: ‘Best-Interests" Decisions for Ambiguous Outcomes
- Palliative Care Issues in Advanced Cardiac Disease.
- Deactivating Cardiac Implantable Electronic Devices at End of Life
- Cardiac Implantable Electronic Device Reuse: Ethical Considerations and Enhancing Awareness
- Just Distribution of Cardiovascular Resources: The Left Ventricular Assist Devices.
- The Cardio-Ethics of Endocarditis: Ethical and Moral Challenges of Noncompliance
- Conflicts of Interest in Daily Practice
- Ethical Challenges for Cardiology Societies: Conflicts of Interest and Clinical Practice Guidelines
- Error, Malpractice, and Complication: A Practical Approach
- Ethical Practice in Cardiovascular Nursing
- Ethics in Cardiovascular Research
- Early Termination of Cardiovascular Research Protocols
Sara Cherny and Dawn Allain
Pamela Jordi and James Smith, Jr.
Part II: Cardiovascular Ethical Issues at the End-of-Life
Sara E. Wordingham and Keith M. Swetz
Keith Swetz, Sara Wordingham, Daniel Matlock, and David M. Zientek
Part III: Transplantation and Allocation of Expensive/Scarce Resources
Kayhan Parsi and David M. Zientek
Alexandra Charrow and James N. Kirkpatrick
Part IV: Professionalism in Cardiovascular Practice
David M. Zientek
Mark A. Hoffman & James N. Kirkpatrick
David M. Zientek
Joy Penticuff & Angela Clark
Part V: Cardiovascular Medical Research
Ana S. Iltis
Emily Anderson & Teresa Lynne Caples
David M. Zientek is Clinical Assistant Professor at the Department of Internal Medicine, University of Texas at Austin Dell Medical School, USA. He has practiced general and interventional cardiology for 29 years and served as co-chair of the Ascension Seton Medical Center ethics committee for 17 years and a member of the American College of Cardiology Ethics and Disciplinary committee for 6 years.
Mark J. Cherry is the Dr. Patricia A. Hayes Professor in Applied Ethics and Professor of Philosophy, St. Edwards University, USA. He is Editor of The Journal of Medicine and Philosophy, Senior Editor of Christian Bioethics, and Editor-in-Chief of HealthCare Ethics Committee (HEC) Forum. He is the author of Kidney for Sale by Owner: Human Organs, Transplantation, and the Market (2005/2015) and Sex, Family and the Culture Wars (2016).