Failure to Diagnose Coronary Artery Disease
A Missed Opportunity for Intervention
A 61-year-old male with a history of obesity sought care from a nurse practitioner (NP), reporting chest pain and radiating arm pain triggered by heavy lifting. Despite his concerning symptoms, his vital signs were normal. The NP diagnosed him with costochondritis and muscle spasms, administering a Toradol injection and prescribing Medrol and Celebrex. She recommended using warm packs for the pain and suggested scheduling a cardiology appointment if symptoms persisted or going to the ER if they worsened.
/ / / / / / / /
Four days later, the patient arrived at the ER with worsening chest pain. An EKG revealed a massive heart attack. During cardiac catheterization, he went into ventricular fibrillation, requiring intubation and ventilation. An angiogram showed a complete blockage of the left anterior descending artery. Despite extensive resuscitation efforts, the patient could not be revived.
Recognizing the Critical Symptoms of Coronary Artery Disease
Experts found that the NP failed to recognize this patient’s risk factors and symptoms for coronary artery disease (CAD). Given his symptoms and history, CAD should have been part of the differential diagnosis, and he should have been sent directly to the ER for further evaluation.
Common symptoms of coronary ischemia include chest pain, radiating pain to the arms or jaw, and shortness of breath, especially during physical exertion. Given the prevalence of CAD and its potentially fatal consequences, patients showing these symptoms need immediate evaluation to rule out a heart attack.
Common Malpractice Errors in Cardiac Cases
Key issues in malpractice claims involving missed coronary artery disease diagnosis include:
- Failure to Recognize Risk Factors
Obesity, advanced age, and sedentary lifestyle are significant CAD risk factors, especially in patients presenting with chest pain.
- Failure to Suspect Coronary Ischemia
Any report of chest pain with radiation to the arms should raise suspicion of CAD, especially in high-risk patients.
- Failure to Refer or Delay in ED Referral
Immediate ER referral is crucial for symptoms suggesting potential heart attacks, especially if exertion triggers or exacerbates the symptoms.
- Failure to Perform Adequate Assessment
A thorough assessment, including a detailed medical history and possibly an EKG, can identify CAD signs early.
- Misinterpretation of Symptoms
Non-cardiac explanations like muscle spasms can sometimes obscure the true nature of cardiac pain if a comprehensive workup is not conducted.
Damages and Consequences from Missed CAD Diagnosis
Delayed or missed CAD diagnosis can lead to fatal heart attacks, irreversible heart damage, loss of income, or loss of consortium for surviving family members.
How Malpraq Supports Victims of CAD Misdiagnosis
At Malpraq, we recognize the importance of a timely and accurate cardiac diagnosis. If you or a loved one experienced undiagnosed or improperly treated coronary artery disease, our team is ready to evaluate your case and connect you with the right resources and representation.
Contact Malpraq today for a confidential consultation to help secure the justice and compensation you deserve.
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Failure to Diagnose Cerebrovascular Disease or Stroke
A Missed Diagnosis with Lasting Impacts
Oct 29, 2024
06:55
Failure to Diagnose Diabetic Ketoacidosis
A Critical Oversight in Pediatric Care
Oct 29, 2024
06:53
Failure to Diagnose or Treat Deep Venous Thrombosis (DVT)
A Critical Oversight in Patient Care
Oct 29, 2024
06:50
Failure to Diagnose or Treat Sepsis
A Case of Missed Early Intervention
Oct 29, 2024
06:48
Dripping Oxygen
Dropping Oxygen Levels Leading to Respiratory Failure
Oct 23, 2024
10:12
Mislabeling Medications
Administering the Wrong Drug Due to Incorrect Labeling
Oct 23, 2024
08:01
Failure to Monitor for Side Effects
Internal Bleeding from Blood Thinners Due to Lack of Monitoring
Oct 22, 2024
11:59
Wrong Time of Administration
Administering Medication Too Early or Too Late, Reducing Efficacy
Oct 22, 2024
10:22
Giving Expired Medication
Administering Expired Antibiotics Due to Negligence
Oct 22, 2024
09:53
Omission of Medication
Forgetting to Administer Critical Heart Medication Leading to a Cardiac Event
Oct 22, 2024
09:43
Administering Medication
Giving Oral Medication Intravenously, Leading to Toxicity
Oct 14, 2024
07:19
Incorrect IV Fluid Rate
Administering IV Fluids Too Quickly, Leading to Fluid Overload and Respiratory Distress
Oct 15, 2024
19:33
Failure to Check for Allergies
Administering Penicillin to a Patient with a Known Allergy, Causing Anaphylaxis
Oct 18, 2024
09:13
Wrong Medication
Nurse Gives Medication Meant for Another Patient
Oct 9, 2024
16:20
Wrong Dosage
Wrong Dosage Administered – Insulin Overdose Leading to Hypoglycemia
Oct 15, 2024
13:26
Failure to Recognize Behavioral Risks
Negligence in Adolescent Psychiatric Care
Oct 29, 2024
14:55
Failure to Diagnose Bacterial Infection
Negligence Resulting in Necrotizing Fasciitis
Oct 29, 2024
14:52
Failure to Diagnose Pulmonary Embolism
Case of Missed Life-Saving Intervention
Oct 29, 2024
14:50
Failure to Follow-Up on Diagnostic Findings
Delayed Detection of Cancer
Oct 29, 2024
14:41
Failure to Adequately Direct Treatment
Delayed Cancer Diagnosis
Oct 29, 2024
14:37
Failure to Diagnose Coronary Artery Disease
A Missed Opportunity for Intervention
Oct 29, 2024
14:34
Failure to Treat Breast Cancer
The Consequences of Delayed Diagnosis and Malpractice
Oct 29, 2024
07:37
Failure to Diagnose Heart Attack
The Impact of Misdiagnosis on Patient Health
Oct 29, 2024
07:35
Failure to Diagnose Cerebrovascular Disease or Stroke
A Missed Diagnosis with Lasting Impacts
Oct 29, 2024
06:55
Failure to Diagnose Diabetic Ketoacidosis
A Critical Oversight in Pediatric Care
Oct 29, 2024
06:53
Failure to Diagnose or Treat Deep Venous Thrombosis (DVT)
A Critical Oversight in Patient Care
Oct 29, 2024
06:50
Failure to Diagnose or Treat Sepsis
A Case of Missed Early Intervention
Oct 29, 2024
06:48
Dripping Oxygen
Dropping Oxygen Levels Leading to Respiratory Failure
Oct 23, 2024
10:12
Mislabeling Medications
Administering the Wrong Drug Due to Incorrect Labeling
Oct 23, 2024
08:01
Failure to Monitor for Side Effects
Internal Bleeding from Blood Thinners Due to Lack of Monitoring
Oct 22, 2024
11:59
Wrong Time of Administration
Administering Medication Too Early or Too Late, Reducing Efficacy
Oct 22, 2024
10:22
Giving Expired Medication
Administering Expired Antibiotics Due to Negligence
Oct 22, 2024
09:53
Omission of Medication
Forgetting to Administer Critical Heart Medication Leading to a Cardiac Event
Oct 22, 2024
09:43
Administering Medication
Giving Oral Medication Intravenously, Leading to Toxicity
Oct 14, 2024
07:19
Incorrect IV Fluid Rate
Administering IV Fluids Too Quickly, Leading to Fluid Overload and Respiratory Distress
Oct 15, 2024
19:33
Failure to Check for Allergies
Administering Penicillin to a Patient with a Known Allergy, Causing Anaphylaxis
Oct 18, 2024
09:13
Wrong Medication
Nurse Gives Medication Meant for Another Patient
Oct 9, 2024
16:20
Wrong Dosage
Wrong Dosage Administered – Insulin Overdose Leading to Hypoglycemia
Oct 15, 2024
13:26
Failure to Recognize Behavioral Risks
Negligence in Adolescent Psychiatric Care
Oct 29, 2024
14:55
Failure to Diagnose Bacterial Infection
Negligence Resulting in Necrotizing Fasciitis
Oct 29, 2024
14:52
Failure to Diagnose Pulmonary Embolism
Case of Missed Life-Saving Intervention
Oct 29, 2024
14:50
Failure to Follow-Up on Diagnostic Findings
Delayed Detection of Cancer
Oct 29, 2024
14:41
Failure to Adequately Direct Treatment
Delayed Cancer Diagnosis
Oct 29, 2024
14:37
Failure to Diagnose Coronary Artery Disease
A Missed Opportunity for Intervention
Oct 29, 2024
14:34
Failure to Treat Breast Cancer
The Consequences of Delayed Diagnosis and Malpractice
Oct 29, 2024
07:37
Failure to Diagnose Heart Attack
The Impact of Misdiagnosis on Patient Health
Oct 29, 2024
07:35
Failure to Diagnose Cerebrovascular Disease or Stroke
A Missed Diagnosis with Lasting Impacts
Oct 29, 2024
06:55
Failure to Diagnose Diabetic Ketoacidosis
A Critical Oversight in Pediatric Care
Oct 29, 2024
06:53
Failure to Diagnose or Treat Deep Venous Thrombosis (DVT)
A Critical Oversight in Patient Care
Oct 29, 2024
06:50
Failure to Diagnose or Treat Sepsis
A Case of Missed Early Intervention
Oct 29, 2024
06:48
Dripping Oxygen
Dropping Oxygen Levels Leading to Respiratory Failure
Oct 23, 2024
10:12
Mislabeling Medications
Administering the Wrong Drug Due to Incorrect Labeling
Oct 23, 2024
08:01
Failure to Monitor for Side Effects
Internal Bleeding from Blood Thinners Due to Lack of Monitoring
Oct 22, 2024
11:59
Wrong Time of Administration
Administering Medication Too Early or Too Late, Reducing Efficacy
Oct 22, 2024
10:22
Giving Expired Medication
Administering Expired Antibiotics Due to Negligence
Oct 22, 2024
09:53
Omission of Medication
Forgetting to Administer Critical Heart Medication Leading to a Cardiac Event
Oct 22, 2024
09:43
Administering Medication
Giving Oral Medication Intravenously, Leading to Toxicity
Oct 14, 2024
07:19
Incorrect IV Fluid Rate
Administering IV Fluids Too Quickly, Leading to Fluid Overload and Respiratory Distress
Oct 15, 2024
19:33
Failure to Check for Allergies
Administering Penicillin to a Patient with a Known Allergy, Causing Anaphylaxis
Oct 18, 2024
09:13
Wrong Medication
Nurse Gives Medication Meant for Another Patient
Oct 9, 2024
16:20
Wrong Dosage
Wrong Dosage Administered – Insulin Overdose Leading to Hypoglycemia
Oct 15, 2024
13:26
