Severe Central Chest Pain in Patient Safety, Preventive & Ethics — 62yo Man | Ethics | SMLE Q#2050
SMLE Question #2050
Patient Safety, Preventive & Ethics
Ethics
A 62-year-old man presents with severe central chest pain for 2 hours and is diagnosed with an acute ST-elevation myocardial infarction. Emergent percutaneous coronary intervention (PCI) is recommended. The cardiologist explains the diagnosis and the risks and benefits of PCI, including death and heart failure if untreated. The patient reports feeling “low” since losing his job but is oriented, can paraphrase the information, and coherently weighs risks and benefits. He refuses PCI and states he understands this could lead to serious complications or death. What is the most appropriate next step?
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