Author + information
- Received June 27, 2011
- Revision received November 10, 2011
- Accepted November 21, 2011
- Published online June 1, 2012.
- Timothy E. Paterick, MD, JD⁎,⁎ (, )
- M. Fuad Jan, MBBS, MD⁎,
- Zachary R. Paterick, BA, CPA†,
- A. Jamil Tajik, MD⁎ and
- Thomas C. Gerber, MD, PhD‡
- ↵⁎Reprint requests and correspondence:
Dr. Timothy E. Paterick, Aurora Cardiovascular Services, 2801 West Kinnickinnic River Parkway, #845, Milwaukee, Wisconsin 53215
Informed consent ideally results in patient autonomy and rational health care decisions. Frequently, patients face complex medical decisions that require a delicate balancing of anticipated benefits and potential risks, which is the concept of informed consent. This balancing process requires an understanding of available medical evidence and alternative medical options, and input from experienced physicians. The informed consent doctrine places a positive obligation on physicians to partner with patients as they try to make the best decision for their specific medical situation. The high prevalence and mortality related to heart disease in our society has led to increased cardiac imaging with modalities that use ionizing radiation. This paper reviews how physicians can meet the ideals of informed consent when considering cardiac imaging with ionizing radiation, given the limited evidence for risks and benefits. The goal is an informed patient making rational choices based on available medical information.
- carcinogenic potential
- doctrine of informed consent
- epidemiology of ionizing radiation
- fiduciary duty
- risk/benefit ratio
All authors have reported that they have no relationships relevant to the contents of this paper to disclose.
- Received June 27, 2011.
- Revision received November 10, 2011.
- Accepted November 21, 2011.
- American College of Cardiology Foundation
- Use of Medical Imaging and Informed Consent
- Risks and Benefits of Cardiac Imaging With Ionizing Radiation
- Doctrine of Medical Informed Consent
- Medicolegal Implications of Informed Consent
- Too Much Effort for Too Little Gain?
- Elements of Informed Consent for Diagnostic Medical Radiation Use