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

D I Bromage
June 2009
Heart;Jun2009, Vol. 95 Issue 11, p885
Academic Journal
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.


Related Articles

  • Echography and Phonography of Acute Aortic Regurgiation in Bacterial Endocarditis. DeMaria, Anthony N.; King, James F.; Salel, Antone F.; Caudill, Christopher C.; Miller, Richard R.; Mason, Dean T. // Annals of Internal Medicine;Mar75, Vol. 82 Issue 3, p329 

    Describes the distinctive echographic and phonographic features characteristic of endocarditis-induced acute aortic regurgitation. Contrast of the features characteristic of endocarditis-induced acute aortic regurgitation to those patients with severe aortic regurgitation of causes other than...

  • Multiple pseudo-abscesses following aortic valve replacement. Attar, M. N.; Moore, R. K. G.; Khan, S. // European Journal of Echocardiography;May2008, Vol. 9 Issue 3, p395 

    Prosthetic aortic valve endocarditis is associated with valve ring abscess, conduction abnormalities and a grave prognosis. Aortic root abscess is a serious complication of infective endocarditis with high mortality. We report a case of a patient who had echocardiographic features resembling...

  • Does This Patient Have Aortic Regurgitation? Choudhry, Niteesh K.; Etchells, Edward E. // JAMA: Journal of the American Medical Association;6/16/99, Vol. 281 Issue 23, p2231 

    Focuses on the success rate of noninvasive cardiac diagnostic evaluation in discovering aortic regurgitation (AR). Use of echocardiography instead of more invasive evaluation methods; Methods; Results; Conclusion that although clinical examination by cardiologists is accurate for detecting AR,...

  • NATIVE VALVE ENDOCARDITIS CAUSED BY STREPTOCOCCUS BOVIS FOLLOWING COLONOSCOPY. KAHRAMAN, Nail; Iskesen, Ihsan; Kurdal, Adnan Taner; Ozbakkaloglu, Alper; Sirin, Bekir Hayrettin // Anatolian Journal of Clinical Investigation;2010, Vol. 4 Issue 4, p218 

    The strongest relationship focuses on Streptococcus bovis. All types of Streptococcus bovis infection have been related to the presence of a gastrointestinal neoplasia, which in most cases is colonic adenoma or carcinoma. We report the case of a patient who was diagnosed with villous adenoma of...

  • Diastolic Flutter of Aortic Valves in Aortic Regurgitation: A Report of Seven Cases. Venkataraman, Kalyanasundaram; Bornheimer, J. F.; Pontius, Steve; June Kim, Sun; Allen, John W. // Angiology;May1979, Vol. 30 Issue 5, p297 

    Seven patients with aortic regurgitation, manifesting diastolic flutter of the aortic valve cusps (DFAVC) in the echo grams, are described. Five patients with infective endocarditis revealed coarse or fine, irregular DFAVC. Two patients with severe aortic regurgitation and a musical murmur...

  • Aortic regurgitation and unusual diastolic mitral regurgitation. Konka, Marek; Kusmierczyk-Droszcz, Beata; Wozniak, Olgierd; Hoffman, Piotr // European Journal of Echocardiography;Sep2008, Vol. 9 Issue 5, p709 

    In patients with infective endocarditis affecting the aortic valve, a secondary involvement of subaortic structures may occur in a mechanism of direct extension or as a result of an infected jet of aortic regurgitation striking the ventricular surfaces of the mitral-aortic intervalvular fibrosa...

  • Aortic Insufficiency in Bacterial Endocarditis. Griffin Jr., Frank M.; Jones, Gaines; Cobbs, C. Glenn // Annals of Internal Medicine;Jan72, Vol. 76 Issue 1, p23 

    Presents a study that examined the records of patients with bacterial endocarditis and aortic valve insufficiency to determine clinical indications for valve replacement before bacteriologic cure can be accomplished. Number of patients studied; Number of patients who died; Recommendation for...

  • A tetrad of bicuspid aortic valve association: A single-stage repair. Barik, Ramachandra; Patnaik, A. N.; Mishra, Ramesh C.; Kumari, N. Rama; Gulati, A. S. // Journal of Cardiovascular Disease Research (Medknow Publications;Apr-Jun2012, Vol. 3 Issue 2, p143 

    We report a 27 years old male who presented with a combination of both congenital and acquired cardiac defects. This syndrome complex includes congenital bicuspid aortic valve, Seller's grade II aortic regurgitation, juxta- subclavian coarctation, stenosis of ostium of left subclavian artery and...

  • Perforation of Bicuspid Aortic Valve mimicking Trileaflet Aortic Valve on Transesophageal Echocardiography. Pal, Soumendu // Journal of Perioperative Echocardiography;Jul-Dec2014, Vol. 2 Issue 2, p77 

    Endocarditis of bicuspid aortic valve (BAV) can lead to valve perforation and result in severe aortic incompetence. Perforation of valve cusps should be considered in the differential diagnosis of BAV patients presenting with AR, and the condition should not be mistaken as a regurgitant...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics