Risky Business: When Patient Preferences Seem Irrational

Sarah Miller
Pennsylvania State University
Interventional cardiologists are commonly faced with patients who prefer percutaneous coronary intervention (PCI) rather than coronary artery bypass surgery (CABG). Many prefer PCI even when CABG is recommended. Doctors may wonder whether (as the cardiac surgeons suspect) they consciously or unconsciously influence patients to choose PCI. We consider reasons why patient preferences in this context are not irrational.
Keywords bioethics  medical ethics  risk  cardiovascular disease
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