Robert Dardenne experienced chest pain. With that symptom he went to a nearby hospital emergency department where the cardiologist on his case, Dr. Vibhuti Singh, ordered testing and observation at the hospital. After two days, Dr. Singh discharged Dardenne, telling him that his symptoms were not cardiac in nature.
Several months later, Dardenne, then 66 years old, suffered a fatal myocardial infarction. He was survived by his wife and one adult child.
His family and estate sued the hospital, claiming that Dr. Singh was negligent in choosing not to provide the appropriate follow-up medical care. The lawsuit also claimed that the testing was ambiguous and thus Dr. Singh should have performed a cardiac catheterization to determine whether Dardenne had a blockage in his arteries.