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It is important that the medical community understands that the cardiology and cardiac surgery communities are confronting end-of-life issues and the need to make appropriate treatment decisions based on an assessment of the likelihood that it will make a difference in a positive way, usually in a frail, sick, elderly patient’s life, argues Patrick O’Gara, MD, FACC, president-elect of the American College of Cardiology and executive medical director of the Carl J. and Ruth Shapiro Cardiovascular Center at Brigham and Women’s Hospital in Boston.

Ethics of high-tech, high-cost interventions