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Books > Medicine > Clinical & internal medicine > Cardiovascular medicine
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Cardiac Disease in the Elderly - Interventions, Ethics, Economics (Paperback, Softcover reprint of the original 1st ed. 2001)
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Cardiac Disease in the Elderly - Interventions, Ethics, Economics (Paperback, Softcover reprint of the original 1st ed. 2001)
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CARLO CONTI You are today confronting sensitive questions on the
subject of "Cardiac surgery and heart diseases in old age" and I
congratulate you on this. It is a brave and important step to
discuss this multifaceted question which demands an answer and an
explanation from many perspectives: From a medical perspective,
there is the question of the medical feasibility and durability of
treatment. From an economic angle we ask ourselves whether we can
pay for everything that is medically feasible. From the patient's
perspective there is the legitimate de sire and the justified need
not to leave anything untried that might serve to sustain or
improve the quality of life. The ethical perspective: is what is
feasible really desirable? Should everything be done simply because
it can be done? Is it ethically acceptable to set an age limit on
an opera tion that in all probability will produce an improvement
in the quality of life? And if so, where does this limit lie? Below
it surgery is "worthwhile" but above it is not? No one in all
seriousness and with a clean conscience will want to draw this line
randomly or arbitrarily. That ap pears to us - quite rightly -
morally unacceptable. The doctors' perspective: they are obliged by
the Hippo cratic oath in principle to carry out all the treatments
that are indicated and comply with the rules of the art of med
ICIne."
General
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