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El enfermo cardiovascular, el cardiólogo y la bioética. The cardiovascular patient, the cardiologist and bioethics.

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Author(s): DrCs Antonio Castillo Guzmán | DraCs Carmen Arocha Mariño | Dra. Ivette Castillo Arocha | Dr. Michel E. Cueto Cañabate | Dra. Nurys B. Armas Rojas | Dr. Omar R. González Grek

Journal: Revista Cubana de Cardiología y Cirugía Cardiovascular
ISSN 0864-2168

Volume: 16;
Issue: 4;
Start page: 509;
Date: 2010;
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Keywords: bioethics | end stage disease | palliative medicine | ethical dilemma.

ABSTRACT
Introduction: A great number of cardiovascular diseases evolve to chronic and causedeath and discapacity. Several patients reach a stage of terminal diseasewith a high expectation of imminent death. The cardiologist must beprepared ethically and scientifically to handle this problems.Objective: Bring out ethical considerations in the form of principles to deal with moraldilemma related to patients who suffer from an end stage chronic disease.Methods: Non experimental investigation, qualitative bibliographic review.Discussion: The palliative medicine is a discipline that allows the doctor to face ethicaldilemmas and it has, among its outstanding principles: the inviolability ofthe human life, the therapeutic proportionality, the double effect in thehandling of the pain and the suppression of the conscience, thetruthfulness, the prevention and not to abandon.Conclusions: The contemporary medical culture faces the logic that imposes thetechnological development. The described principles facilitate the doctor'staking decisions process faced to an ethical dilemma in the case of a sickperson in end stage.
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