[Ethics and cardiology]

The multiplication of therapeutic protocols and progressively more complex procedures, and the development of invasive procedures of interventional cardiology, have made ethics all the more important in cardiology. They should be prominent in the field of research where the primary objective is improvement of the health of the individual without abusing the dignity of the human person. The Huriet-Serusclat law of the December 20th 1988 was formulated in this spirit. However, ethics also intervene in clinical cardiological practice which should provide patients with the best treatment whilst avoiding technological excesses. Moreover, economical considerations constitute a true ethical challenge. Each individual should have access to quality health care without financial difficulties being an obstacle to this right. This equality necessitates a rational use of available resources and the taking into account of the collective interest. As an aid to decision and a barrier of protection, ethics imply constant reflection in order to supply patients with the best treatment without ignoring the interests of society.

Medical malpractice claims in cardiology

Diagnostic errors are the leading cause of loss in cardiology liability suits. Physicians could reduce loss by ruling out conditions carrying the greatest risk if misdiagnosed and by consulting with a radiologist concerning abnormal x-rays. Lack of documentation, poor physician communication, and adverse patient perception also lead to problems.