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Do Cardiologists and Cardiac Surgeons need ethics? Achieving happiness for a drug user with endocarditis
  1. Daniel I Bromage (danbromage{at}doctors.org.uk)
  1. Royal United Hospital, Bath, United Kingdom
    1. Duncan J McLauchlan (dm9631{at}hotmail.co.uk)
    1. Royal United Hospital, Bath, United Kingdom
      1. Angus K Nightingale (angus.nightingale{at}uhbristol.nhs.uk)
      1. Bristol Heart Institute, Bristol, United Kingdom

        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.

        We present the case of an intravenous drug addict with native aortic valve endocarditis complicated by cerebral abscess and severe aortic regurgitation to illustrate some common ethical and moral dilemmas.

        We discuss the predominant theories in medical ethics, including the ‘Four Principles Approach’, and present a model that can be used to translate these ethical theories into a clinical decision-making tool.

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