Articles Posted in Cardiology Errors

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Dwayne Kantorowski underwent surgery to treat a brain tumor. He was just 45 years old, but he later experienced stroke-like symptoms. He promptly went to a hospital emergency room where he underwent an EKG. Although the test showed abnormalities, the attending emergency physician did not order additional blood tests or cardiac enzyme tests and did not refer him for a cardiology consultation. That failure to refer was the claimed cause of his resulting death

Kantorowski was hospitalized for several days and then discharged. Just three days later however, he suffered a heart attack that left him in a vegetative state for 3 weeks before he died. He was survived by his parents.

His family filed suit against the emergency room physician and the primary care physician who treated Kantorowski during his hospitalization. It was alleged that the doctors chose not to arrange for a cardiology consultation in light of the abnormal EKG, which indicated he had suffered a heart attack. The lawsuit did claim lost income.

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Janice Bishop presented to the emergency department at Graham Hospital in Canton, Ill., with complaints of chest pain on July 19, 2010. The emergency room physician ordered an EKG, which demonstrated non-specific T-wave changes compared to a prior 2007 EKG.

Multiple nitroglycerine injections and one Lovenox injection were administered to Bishop in the ER. She was then admitted to a post-coronary care unit under the attention of the defendant physician Dr. Patrick Renick. Serial EKGs were then done.

Dr. Renick discharged Bishop the next morning, July 20, 2010, with orders for a stress test to be done as an outpatient.  The outpatient stress test was scheduled for July 23, 2010, but she subsequently canceled it due to insurance coverage issues.

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The plaintiff, Brian Dore, was 70 and retired when he saw his family practice physician, the defendant, Dr. Bradford Wainer.  It was April 16, 2012, and Dore complained of severe right shoulder pain when he started to play golf in March 2012. Dr. Wainer palpated something suspicious under Dore’s skin in the upper shoulder/chest area and heard a heart murmur.  Dr. Wainer ordered rib and chest x-rays, which were completed that day.  He also ordered a transthoracic echocardiogram for the following day.

The x-ray showed opacity in the upper right lung and potential pathologic fractures. The echocardiogram showed thickening of the mitral heart valve and small light mitral regurgitation, which the defendant doctor maintained was consistent with mitral systolic murmur and not indicative of any disease. Mitral regurgitation is the condition of a patient whose heart valve, the valve of the left of the heart, doesn’t close all the way and allows blood to flow back into the chamber. This would happen each time the mitral valve would close. It’s a dangerous condition.

Dr. Wainer then ordered blood tests and CT scans. The blood work showed mildly elevated white blood cell count, platelets and sedimentation rate as well as low hemoglobin (10.5), all of which were indicative of anemia.

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The Illinois Appellate Court found that Advocate Christ Hospital should not have been dismissed from a wrongful-death lawsuit that involved pediatric cardiovascular surgeon Mary Jane Barth, M.D. The issue in the case was whether Advocate Christ Hospital could be held as the principal for the apparent agency of a doctor who practices there. The hospital argued that Dr. Barth was an independent contractor and thus, the plaintiff could not hold the hospital liable as the principal for any wrongful conduct of an agent (a doctor).

The First District Illinois Appellate Court found it was reasonable for the plaintiff, Natalie Hammer, to assume Dr. Barth was acting on behalf of Advocate Christ Hospital when she performed a number of operations on her husband, Jerry Hammer, who died in 2010.

Natalie Hammer filed a lawsuit against Advocate, Barth and Barth’s employer, Cardiovascular Surgeons Ltd. (CSL) for medical malpractice and wrongful death. The three-justice appellate court panel found that Advocate Christ Hospital could be held liable because Hammer demonstrated that Advocate did not carefully distinguish between itself and its independent doctors and that Hammer relied on Advocate to care for her husband.

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Carol Haas was 68 years old when she went to a nearby hospital where she was diagnosed with a myocardial infarction — a heart attack. She underwent an angioplasty performed by a cardiologist, Dr. Kevin Boyle.

Apparently because of some blocked artery or arteries, she underwent an angioplasty, which is a method used to open up clogged or blocked arteries. This procedure is performed by a cardiologist who threads a thin tube through a blood vessel in the arm or groin up to the involved site in the artery. The tube has a tiny balloon on the end. When the tube is in place, the doctor inflates the balloon to push the plaque outward against the wall of the artery. This widens the artery and restores blood flow. During that procedure, Haas developed extensive intracoronary thrombi, or clots and other heart damage; she required an emergency coronary bypass.

Haas suffered a cardiogenic shock and was transferred to another hospital so that she could be evaluated for a heart transplant. Unfortunately, she died before the evaluation. Haas was survived by her husband and five adult children.

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Wayne Reynolds, 64, who had a history of smoking and high cholesterol, experienced rapid heartbeat and other problems over the course of several years. He consulted a cardiologist, Dr. Norma Khoury, who ordered an EKG.

The EKG showed an ST segment depression, prompting Dr. Khoury to order a stress test and a follow-up evaluation.

The heart center that was to administer the test informed Reynolds that it would have to be rescheduled due to staffing issues.

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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.

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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.

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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.

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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.

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