21 results for “troponin test”
32y · Female·ischaemic heart disease complicated by upper gastrointestinal haemorrhage
…d senior doctor diagnosed oesophagitis, ordered morphine, and discharged her after ~2 hours with a single troponin test and ECG. She died the next day from acute coronary thrombosis complicated by upper gastrointestinal …
Male·acute myocardial infarction due to coronary artery disease (all four); specific …
…moking, hypertension, family history); failure to follow diagnostic protocols requiring immediate ECG and troponin testing; misinterpretation of ECG changes or failure to seek specialist ECG interpretation despite availa…
42y · Male·ischaemic heart disease due to coronary atherosclerosis
…n complete history despite paramedic documentation of morning chest pain. ECG showed nonspecific changes; troponin was normal but single test insufficient given symptom timing. Expert evidence established that proper his…
72y · Male·ischaemic heart disease secondary to coronary artery disease
…ion secondary to severe triple-vessel coronary artery disease. The critical omission was failure to order troponin testing despite chest pain presentation. While the pleuritic description and atypical features led clinic…
5y · Female·myocarditis
…ECG by both the registrar and consultant paediatrician; lack of allocated responsibility for following up troponin test results; failure of ICU to properly assess the critically ill child despite consultation; inadequate…
43y · Female·acute toxic effects of amitriptyline
…a mental health assessment pod, despite abnormal ECG findings with T-wave changes not fully investigated (troponin test ordered but not sent). She was unsteady on transfer and displayed involuntary movements attributed t…
39y · Male·Ischaemic heart disease with complete occlusion of the left anterior descending …
…ion (cycling, chopping wood) and arm heaviness. The doctor diagnosed reflux oesophagitis, ordered ECG and troponin testing (both normal at 3.5 hours post-symptom onset), and prescribed Losec. The coroner found that while…
69y · Male·Intracerebral haemorrhage due to sepsis (Staphylococcus aureus bacteraemia), com…
…tion and atrial fibrillation presented to a rural hospital with fever, lethargy, tachycardia and elevated troponin. The treating doctor diagnosed NSTEMI based on the elevated troponin and cardiac history, administering a…
72y · Male·Subarachnoid haemorrhage in a man with coronary arteriosclerosis
…nd aspirin. Multiple doctors reviewed him and found his presentation consistent with cardiac disease; his troponin was negative and ECG showed no acute transmural changes. Around midnight on 22–23 October 2000, he suffer…
84y · Female·Myocardial infarction
… post-op with ECG showing atrial fibrillation and new right bundle-branch block was not investigated with troponin or blood tests despite this indicating possible myocardial infarction. Significant anaemia (Hb 72, down f…
77y · Female·combined effects of ischaemic heart disease and calcific aortic valve sclerosis
…arket. At West Coast District Hospital, her ECG was abnormal but a cardiology registrar advised deferring troponin testing and arranging outpatient echocardiogram rather than urgent transfer to Royal Hobart Hospital's ca…
86y · Female·Cardiogenic shock
…6 years old, presented to an urgent care centre with two days of chest pain and vomiting. A point-of-care troponin test (i-STAT) returned 0.4 ng/L, interpreted as normal, and she was discharged with gastritis. She deteri…
68y · Female·Acute myocardial infarction and coronary artery atherosclerosis
…erosclerosis. Clinicians failed to consider myocardial infarction despite atypical presentation and did not test troponin initially. Key lessons: maintain high suspicion for acute coronary syndrome in females presenting …
64y · Male·Septic shock secondary to urosepsis (Pseudomonas and Stenotropomonas maltophilia…
…ergency department with suspected sepsis (vomiting, diarrhoea, hypotension, acute kidney injury, elevated troponin, hyperkalaemia, metabolic acidosis). The locum doctor and nurses failed to recognize sepsis or clinical d…
41y · Female·acute myocardial infarction
…est pain guidelines, which required two negative features but Ms Lawrence had none; (3) failure to repeat Troponin T testing as recommended in the hospital's own protocols when initial results were borderline. A second T…
24y · Male·Coronary artery thrombosis secondary to coronary atherosclerosis
A 24-year-old Aboriginal man collapsed during football in extreme heat and presented to a rural clinic with dizziness, chest pain, shortness of breath and sweating. The nurse diagnosed dehydration and administered IV flu…
34y · Male·Cardiac tamponade due to hemopericardium from acute aortic dissection of the asc…
…to the ED with sudden-onset central chest pain. He was discharged with a diagnosis of GORD after negative troponin and symptomatic relief with antacids. A chest X-ray showed a widened mediastinum suggestive of aortic pat…
30y · Female·tricuspid valve bacterial endocarditis
Jennifer Collins, a 30-year-old intravenous methylamphetamine user, died from tricuspid valve bacterial endocarditis on 6 September 2018. She presented to Noarlunga Hospital ED on 20 August 2018 with chest tightness, fev…
58y · Male·Pulmonary thromboembolism complicating right calf deep venous thrombosis
…the Wells score was applied. If it was applied (with a score of zero), clinical guidelines required D-dimer testing; this test would likely have been positive and led to further imaging, potentially identifying the PE be…
77y · Female·Pulmonary thromboembolism secondary to deep vein thrombosis of the left leg
… examined by Dr H. who considered but dismissed PE as a diagnosis, attributing symptoms to possible gastrointestinal cause after a diagnostic trial of antacid. She was discharged without ECG, without verification of anti…
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.