A 93-year-old patient in full possession of her faculties lives alone and independently at home. During a visit by her daughter, she suddenly experiences a strong pressure on her chest. The daughter immediately takes her to the emergency ward of the nearby district hospital.
There, a myocardial infarction is diagnosed with an indication for an immediate cardiac catheter examination. There is no contraindication. This would require a transfer to the centre hospital. The doctor is of the opinion that the patient, at 93, is too old for a cardiac catheterisation and, therefore, recommends that the patient stay in the district hospital. She could be treated with medication here. In addition, he says that he advises against a heart catheterisation at the central hospital. Daughter and patient are happy that no transfer is necessary and the patient remains in the district hospital.