Misdiagnosis of a Heart Attack

A heart attack (myocardial infarction) is the most common cause of death in both men and women. Failure to timely treat will result in further irreversible heart damage with the consequence of heart failure, or worse: death. Classical crushing chest pain is most common in men, but not in women(who more commonly experience jaw, back or arm pain, or just fatigue).

Whenever any adult has symptoms of a heart attack, the following test must be performed: an electrocardiogram (EKG), plus blood enzyme test to rule out heart muscle injury (troponin and CPK). Even if these are initially normal, the patient should be monitored in a hospital for 24 hours, and retested, especially if they have high risk factors: a previous heart attack, high blood pressure, diabetes, high cholesterol (especially if their LDL {“lousy” cholesterol} is greater than 100), and if they have a family history of a heart attack. The failure to do this is a departure from the accepted standards of care.

Whenever a heart attack is diagnosed, the best treatment is to use blood clot dissolving medication (tPA: tissue plasminogen activator) within 4 hours to reopen the blocked coronary artery before irreversible heart muscle damage (necrosis: gangrene) occurs. Furthermore, continuous EKG monitoring will allow immediate treatment of any irregular heart rhythm (arrhythmias) before they cause ventricular fibrillation (just twitching of the heart muscle, without any blood pressure being created). Electrical defibrillation (electric shock to the heart) when immediately performed can often restart the heart, saving the patient’s life and brain before irreversible damage results.

If the patient sustained a heart attack and was negligently misdiagnosed, but did not die, the psychological damage can be extensive: heart muscle damage with some degree of heart failure: decreased cardiac pumping efficiency measured by a lower ejection fraction, plus higher risk for a fatal heart attack, and greater need for invasive procedures: angioplasty or coronary artery bypass graft (CABG), with their risks and expenses.

This medical malpractice article was written by an expert witness working with American Medical Experts, LLC (AME). AME is the nation’s leading source of medical experts for case review and testimony; AME also offers the lowest flat rate fees on Complete Case Reviews ($695) and Expert Witness Reports ($995). For more information, call 888-678-EXPERTS (888-678-3973) or visit AmericanMedicalExperts.com.

Lung Cancer Misdiagnosis Malpractice Case

Lung cancer: does the patient have cancer or is that scar tissue in the lung from tuberculosis or something else? The doctor has a duty to obtain any previous chest x-rays. If this is a "new lump" seen in the lung and the patient had a chest x-ray a year before and five years ago, which showed the same lump, it couldn't be cancer because it hasn't changed. How was the patient evaluated before surgery? Bronchoscopy, looking into the windpipe, and obtaining sputum specimens for germs and cancer analysis is important. The condition must be properly diagnosed, biopsies performed when possible, the patient told about the risks, and the previous chest x-rays checked. Very often we see negligence in failing to examine earlier x-rays, whether they were taken for tuberculosis screening, for work physicals, for insurance, for previous hospitalizations, or for any other condition. Have good copies made of all x-rays. Was the lump seen earlier? Was it misdiagnosed when the cancer cure rate would have been higher? Has it changed? Is it cancer or was it some old scarring, tuberculosis or pleurisy? Lung cancer is one of the top five diseases in terms of malpractice dollar awards. The typical case alleges misdiagnosis via poor diagnostic methods or mismanagement of diagnostic tests. Delayed diagnosis of lung cancer offers a much poorer prognosis, and therefore any malpractice award is typically large in terms of dollar value.

This medical malpractice article was written by an expert witness working with American Medical Experts, LLC (AME). AME is the nation’s leading source of medical experts for case review and testimony; AME also offers the lowest flat rate fees on Complete Case Reviews ($695) and Expert Witness Reports ($995). For more information, call 888-678-EXPERTS (888-678-3973) or visit AmericanMedicalExperts.com.