The cardiac catheter

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.

Did the doctor violate the patient's autonomy?