1st Edition

Ethical Issues in Cardiovascular Medicine

Edited By David M. Zientek, Mark J. Cherry Copyright 2022
    280 Pages
    by Routledge

    280 Pages
    by Routledge

    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
    2. Sara Cherny and Dawn Allain

    3. An Ethical Discussion of Cardiovascular Disease in Pregnancy: Peripartum Cardiomyopathy and Pulmonary Hypertension
    4. Pamela Jordi and James Smith, Jr.

    5. Severe Congenital Anomalies in the Fetus or Infant: ‘Best-Interests" Decisions for Ambiguous Outcomes
    6. Dalia Feltman

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

    7. Palliative Care Issues in Advanced Cardiac Disease.
    8. Sara E. Wordingham and Keith M. Swetz

    9. Deactivating Cardiac Implantable Electronic Devices at End of Life
    10. Keith Swetz, Sara Wordingham, Daniel Matlock, and David M. Zientek

      Part III: Transplantation and Allocation of Expensive/Scarce Resources

    11. Cardiac Implantable Electronic Device Reuse: Ethical Considerations and Enhancing Awareness
    12. Behzad Pavri

    13. Just Distribution of Cardiovascular Resources: The Left Ventricular Assist Devices.
    14. Kayhan Parsi and David M. Zientek

    15. The Cardio-Ethics of Endocarditis: Ethical and Moral Challenges of Noncompliance
    16. Alexandra Charrow and James N. Kirkpatrick

      Part IV: Professionalism in Cardiovascular Practice

    17. Conflicts of Interest in Daily Practice
    18. David M. Zientek

    19. Ethical Challenges for Cardiology Societies: Conflicts of Interest and Clinical Practice Guidelines
    20. Mark A. Hoffman & James N. Kirkpatrick

    21. Error, Malpractice, and Complication: A Practical Approach
    22. David M. Zientek

    23. Ethical Practice in Cardiovascular Nursing
    24. Joy Penticuff & Angela Clark

      Part V: Cardiovascular Medical Research

    25. Ethics in Cardiovascular Research
    26. Ana S. Iltis

    27. Early Termination of Cardiovascular Research Protocols

    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).