Articles Posted in Cardiology Errors

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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.

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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.

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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.

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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.

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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.

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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.

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In May 2001, Michael Hamilton was a worker at the Behr Process Corp. plant in Chicago Heights, Ill., when he began experiencing severe pain.  He was taken by ambulance to St. James Hospital in Chicago Heights, Ill. 

At the hospital, Hamilton was met by Dr. Jose Almeida.  Within a few hours, Hamilton was discharged saying that his pain had ended.  He was instructed to see his primary care physician the next day.  However, the next day Hamilton was found dead in his mother’s apartment.  An autopsy revealed that Hamilton died of pericardia tamponade, which is blood surrounding the heart as a result of an aortic dissection.

The mother of Hamilton, Evelyn Hart, filed a lawsuit in Cook County claiming that the hospital, St. James and Dr. Almeida, as well as the doctor’s employer, Excel Emergency Care LLC, were negligent. 

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Andrew Hanson, 49, was injured at his job.  He went in to see his family practice physician, Dr. Ronald Davis, who diagnosed a crushed injury to his chest.  Hanson then underwent a work-up, which showed a left chest contusion.

The next day, Hanson experienced other symptoms, including shortness of breath.  Dr. Davis told Hanson that his injury would take time to heal. Two days later, Hanson met with Dr. Davis; Hanson was suffering from extreme hypotension (low blood pressure) among other symptoms.  Dr. Davis referred Hanson for a CT scan, and he was then diagnosed as having a heart attack.

He is now totally disabled and unable to continue his job as a truck driver; until his injury and illness, he was earning about $50,000 a year.

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Ronald Cobb underwent surgery to insert an implantable cardioverter defibrillator (ICD) at Advocate Lutheran General Hospital in Park Ridge, Ill.  When the procedure was completed on Feb. 3, 2009, Cobb was  51.  Just two hours after the surgery, Cobb suffered a myocardial infarction in the recovery room and passed away.

His family brought a lawsuit alleging that the defendant doctors were negligent in that they withheld his Plavix medication and chose not to perform an angiogram before this surgery.  It was claimed that the failure to do the angiogram resulted in simultaneous stent thrombosis in two coronary arteries. 

The defendants maintained that discontinuation of Plavix was appropriate under the American College of Cardiology and American Heart Association guidelines. The defendants contended that Cobb did not require an angiogram.  The jury agreed with that proposition and found in favor of the doctors and their practice group.

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Janelle Jones, 57, underwent a cardiac catherization at Medical Center of Southeast Texas. Jones complained of chest pain before she was discharged. She underwent some testing. Jones was told to follow up with her treating physician in one week or go to the hospital if her pain increased. 

Four days after she was discharged from the hospital, Jones met with her treating cardiologist and complained of shortness of breath, chest pain and increased heart rate. The doctor diagnosed a stomach issue and prescribed medicine.

Four days after that, Jones went to the emergency room at the hospital, where she later died of a fatal heart attack. She was survived by her husband and four children. 

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