Articles Posted in Cardiology Errors

by

This confidential settlement took place because of the death of a 62- year-old man who had a long history of smoking. He was also obese. The patient, who we will call Mr. Doe, suffered lethargy, a fever and general weakness, and he also had sharp chest pain for two days. He went to a hospital emergency room. It was there that he underwent testing that included an EKG. The report on the EKG was normal.

Mr. Doe was diagnosed as having a virus, and he was discharged with instructions to follow up with his primary care physician.

Three days later, he suffered tachycardia, which is shortness of breath and chest burning. Mr. Doe was taken to the hospital where an EKG showed evidence of myocardial infarction, a heart attack. Before he could be transferred to a different hospital, he died. He was survived by his wife.

Continue reading

by

In December 2009, Marion Peterson was admitted to Our Lady of Resurrection Hospital in Chicago because of respiratory distress. After several days in the intensive care unit, she was transferred to a stepdown unit and started on the anticoagulant Lovenox for atrial fibrillation. Atrial fibrillation is an irregular heartbeat or an abnormal heart rhythm that can be characterized by rapid or irregular beating of the hart. Some would describe atrial fibrillation as a quivering heartbeat or an irregular heartbeat; it can be very dangerous and lead to stroke or heart attack or other health issues. Symptoms of atrial fibrillation include lack of energy, dizziness and heart palpations.

On Dec. 18, 2009, Coumadin was initiated, which is another anticoagulant. However, Peterson, 72, became hypotensive and had a dangerously low blood pressure the next day, Dec. 19, 2009; she also experienced a 3 to 4 gm drop in her hemoglobin level.

She was then seen by several doctors until her internist, the defendant Dr. Danail Vatev, arrived. Once Dr. Vatev was involved in the medical care, he ordered a repeat hemoglobin test, a CT scan and other diagnostic studies. The hemoglobin test showed that Peterson had anemia, and Dr. Vatev ordered a blood transfusion, fresh frozen plasma (FFP) and vitamin K to reverse the anticoagulation effects.

Continue reading

by

At issue in this South Carolina Supreme Court case was whether the medical malpractice statute of repose applied to indemnify the claim of Columbia/CSA-HS Greater Columbia Healthcare System — also known as Providence Hospital. The trial court in the Court of Appeals in South Carolina held that it does and thus barred the indemnity action brought by Providence Hospital. Because the statute of repose barred the indemnify action brought by the Providence Hospital, the Supreme Court of South Carolina affirmed the lower court’s and the appellate court’s decision.

In 1997, Dr. Michael Hayes and Dr. Michael Taillon were working as emergency room physicians at Providence Hospital as independent contractors. Arthur Sharpe came to Providence Hospital in the emergency room on the same date. He was complaining of chest pain. Drs. Hayes and Taillon evaluated Sharpe and diagnosed him as suffering from gastric reflux. Sharpe was then discharged from the hospital; in fact, he had actually suffered a heart attack. That heart attack was determined a few days later when he went to seek other medical care.

Because of the misdiagnosis, on May 25, 1999, Sharpe and his wife filed a medical malpractice and loss of consortium suit against Providence Hospital and Dr. Hayes. The Sharpes did not name Dr. Taillon as a defendant. Providence Hospital settled with the Sharpes on June 10, 2004.

Continue reading

by

Shronda Thomason suffered from a cardiomyopathy, a disease of the heart muscle, which necessitated the implanting of a defibrillator. The treating cardiologist, Dr. John Gallagher, advised Thomason that she required a new pacemaker battery and the replacement of the defibrillator’s lead.

During the surgery, which was done in a hospital catherization lab, Thomason sustained a puncture and hole in her superior vena cava of her heart. Clearly, the hole resulted in profuse and immediate bleeding from that area of the heart. Dr. Gallagher called for a cardiothoracic surgeon to assist. Thomason was placed on cardiovascular bypass about an hour and a half later. By then, it was too late.

Because Thomason suffered excessive bleeding, she died. Thomason was a property specialist earning more than $50,000 annually and was survived by her four children, one of whom is a minor.

Continue reading

by

Kevin Tolson was 49 years old when he was injured as the collapsible barrier he was walking over suddenly shot upward, entangling him. He was taken to the nearby hospital emergency room where he experienced symptoms, which included a cold left foot that he was unable to move, numbness and tingling in the foot as well as severe pain. X-rays were completed and a physician assistant diagnosed knee strain and released Tolson from the hospital with instructions to see an orthopedic surgeon.

When Tolson’s symptoms persisted, he consulted a local doctor who detected low pulse in his leg and instructed him to return to the hospital. An MRI revealed that all of the ligaments in Tolson’s left knee were damaged. Despite surgery, Tolson’s leg had to be amputated above the knee. He had been a security guard working two jobs at about $20 an hour, but is now able to hold only one position due to his medical condition.

Tolson sued the physician assistant and emergency room physician at the hospital and also named the hospital as a party defendant. It was alleged in the lawsuit that these medical providers chose not to diagnose a popliteal artery injury. Tolson claimed that based on his symptoms and the x-rays that were taken at the emergency room a dislocation and possible vascular injury could not be ruled out.

Continue reading

by

A Cook County jury found that no medical negligence that caused the death of Jerome Granat following a cardiac catherization. On June 16, 2010, the defendant cardiologist, Dr. Surendra Avula, performed a cardiac catherization procedure on 64-year-old Granat at Advocate Christ Hospital. The patient’s previous cardiac history included quadruple coronary artery bypass surgery in 1994, three stents put in place in 2002 and 2007 and one heart attack, but he still had normal heart function and was in reasonably good health at the time of this procedure.

Dr. Avula, the head of the cardiac cath lab at Christ Hospital, found 99% blockage in Granat’s old bypass vein graft, requiring a new stent; however, the old graft ruptured when the stent was inserted.

Despite emergency surgery, Granat suffered brain damage and died 2 weeks later. He had recently retired and was survived by his wife and three adult children. The family filed a lawsuit against Dr. Avula and his practice maintaining that he selected a stent that was too large (4 mm instead of 3.5 mm), that he improperly responded to the graft rupture and that he should have re-inserted a balloon to stop the bleeding rather than transferring the patient for emergency cardiovascular surgery.

Continue reading

by

A jury deliberated 12 hours over two days before it was deadlocked, unable to reach a verdict by unanimous consent. The jury was deadlocked 8-4 or 7-5 in favor of the defendant Dr. Ian J. Goldberg.

This case arose out of an April 25, 2009 event, when Michael Knorps experienced crushing chest pain, shortness of breath and diaphoresis. Diaphoresis is a medical term for sweating profusely. Paramedics came to the 52-year-old Knorps giving him nitroglycerin, which completely relieved his chest pain. He was admitted to St. Alexius Hospital in Hoffman Estates, Ill., and was diagnosed with unstable angina. EKGs, cardiac enzymes and a cardiology consultation were all ordered. Knorps, 52, was seen the next day by a cardiologist, Dr. Ian Goldberg, who suspected coronary artery disease and recommended cardiac catherization/angiogram.

The angiogram was done the following day by Dr. Sumeet Sachdev, who found only mild coronary disease with 20% blockage of the left anterior descending artery and no disease in the other coronary arteries.

Continue reading

by

A Cook County jury was deadlocked after four days of deliberation in a case in which the plaintiff claimed she underwent an unnecessary coronary bypass surgery. Maryann Giannetti was 52 years old when she underwent a stress test at St. Joseph Hospital in Chicago. She claimed she was suffering “vague” chest tightness on Aug. 14, 2006. During the stress test, she experienced ventricular tachycardia, which can be potentially fatal because of the irregular heartbeat or arrhythmia. She experienced this condition while on a treadmill. A coronary angiogram was ordered.

The defendant, Dr. Uday Vyas, a cardiologist, and the defendant cardiothoracic surgeon, Dr. William Bradshaw, interpreted the angiogram. They believed the angiogram showed 50% to 60% blockage of the opening of the left main coronary artery and 70% blockage of the proximal circumflex artery.

Because of the findings of blockage, the doctors ordered Giannetti to have a double coronary bypass surgery. She was never convinced that she needed the surgery and later showed the films to another cardiologist who told her there was no blockage whatsoever of any artery.

Continue reading

by

On Dec. 29, 2008, Camilla Hayes, 76, came to the emergency room at Rush Oak Park Hospital complaining of abdominal pain. The emergency room doctor, Dr. Joseph DiPiazza, did not order a complete cardiac workup. She was later diagnosed and treated for gastroesophageal reflux disease (GERD). However, Hayes was in process of being discharged from the hospital after four and a half hours in the ER when she suddenly collapsed and died. She is survived by two adult children. No autopsy was performed and the parties agreed that she most likely died from a sudden cardiac arrest based on her multiple risk factors for cardiac disease, including hypertension, high cholesterol, morbid obesity and a history of smoking.

The family filed a lawsuit against the doctor and his practice, claiming that Dr. DiPiazza was negligent in choosing not to properly evaluate Hayes’ symptoms from a cardiac standpoint, choosing not to diagnose her cardiac condition, choosing not to order cardiac enzyme tests and serial EKGs, and discharging her instead of admitting her to a telemetry floor for observation.

The family also maintained that the hospital nurses did not determine the exact location of Hayes’s burning discomfort at the time of triage and chose not to initiate the nursing standing orders for unexplained chest pain.

Continue reading

by

Guadalupe Ramirez had a history of congestive heart failure.  She was also an insulin-dependent diabetic, had mitral valve regurgitation, atrial fibrillation, rheumatic heart disease, high blood pressure and a prosthetic heart valve.  Ramirez, 72, underwent a cardiac catheterization procedure on Nov. 21, 2003.  Eight days after the procedure, Ramirez presented to the emergency department at the University of Illinois Hospital (UIC) complaining of groin pain.

The defendant, Dr. Joan Briller, was the attending cardiologist for the first 24 hours of her admission.  Dr. Briller and other physicians considered a retroperitoneal bleed in their assessment, but did not order a CT scan until about 22 hours later.

All parties agreed that a retroperitoneal bleed is a recognized complication of cardiac catheterization and often occurs in the absence of negligence.

Continue reading