170 results for “ECG”
47y · Female·acute subendocardial septal myocardial infarction complicating hypertension and …
…s. The on-call doctor dismissed the presentation as psychogenic or reflux-related based on a normal initial ECG and lack of GTN response, despite classic cardiac symptoms and risk factors. He discharged her after sympto…
42y · Male·ischaemic heart disease due to coronary atherosclerosis
…pisodes, and Dr N. failed to obtain complete history despite paramedic documentation of morning chest pain. ECG showed nonspecific changes; troponin was normal but single test insufficient given symptom timing. Expert e…
29y · Male·Florid myocarditis
…d severe myocarditis with pleural effusion. Expert evidence established that appropriate investigation with ECG and chest X-ray would likely have detected the condition and led to hospital admission. Key clinical lesson…
42y · Male·Cardiac arrhythmia secondary to electrolyte imbalance (hyperkalaemia) and verapa…
…ulfill what he misunderstood. (2) ED response – on second presentation with bradycardia, hyperkalaemia, and ECG changes suggesting life-threatening electrolyte disturbance, staff failed to recognise severity, didn't tri…
55y · Male·Acute myocardial infarction due to coronary thrombosis and coronary atherosclero…
…ical centre on 7 December 2006 with chest pain, sweating, and left arm pain—classic cardiac symptoms—but an ECG was not performed due to equipment failure. Subsequent VMOs who assessed him in December did not review ear…
37y · Male·Complications due to atherosclerotic heart disease and dyslipidaemia
… and dyslipidaemia while in custody at Darwin Correctional Centre. His death was avoidable. He had abnormal ECGs in 2019 and 2022 that were not appropriately escalated to cardiology. On 13 September 2022, an abnormal EC…
32y · Female·ischaemic heart disease complicated by upper gastrointestinal haemorrhage
…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 haemorrhage. Cr…
39y · Male·Ischaemic heart disease with complete occlusion of the left anterior descending …
…n on exertion (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…
5y · Female·myocarditis
…assignment but no medical review for 5 hours (required within 30 minutes); misinterpretation of an abnormal ECG by both the registrar and consultant paediatrician; lack of allocated responsibility for following up tropo…
79y · Male·Acute myocardial infarction
…onal Centre, died from acute myocardial infarction. On 29 April 2016, he presented with chest tightness; an ECG showed no abnormalities and he was prescribed hypertension medication. The following morning he reported fe…
77y · Male·Complications of reaction to an iron infusion in a man with ischaemic heart dise…
…cing IV iron; (2) anaphylaxis requires immediate transfer to a monitored resuscitation area with continuous ECG monitoring, particularly in patients with cardiac disease; (3) specific informed consent for iron infusion …
31y · Male·Acute Myocardial Infarction
…015, he reported chest pain to a nurse, who recorded vital signs within normal range and did not perform an ECG or arrange medical review. Cardiology expert evidence indicated an ECG and troponin levels should have been…
77y · Female·Pulmonary thromboembolism secondary to deep vein thrombosis of the left leg
…symptoms to possible gastrointestinal cause after a diagnostic trial of antacid. She was discharged without ECG, without verification of anticoagulation status (INR test), and without repeat vital signs. She collapsed a…
58y · Male·coronary atherosclerosis
…descending arteries, plus a thrombus. Medical review found appropriate care throughout incarceration; while ECG guidelines for inmates over 50 stated 'if clinically indicated', the clinical nurse determined one was not …
37y · Male·cardiac arrhythmia
…scribed three antipsychotics when only two were intended due to failure to formally document cessation; (2) ECG monitoring should be performed baseline and regularly (every 6-12 months) for patients on QT-prolonging med…
63y · Male·Hypoxic ischaemic brain injury and pneumonia complicating cardiac arrest in a ma…
…edications (diazepam, olanzapine, droperidol, promethazine, chlorpromazine). Critical failures included: no ECG or blood tests performed in ED despite high-risk medication exposure; lack of communication to psychiatric …
23y · Male·intra-cerebral haemorrhage following methylamphetamine use
…pril 2013, he received a heavy blow (rib fracture) and used methylamphetamine. At the emergency department, ECG changes were misinterpreted as acute myocardial infarction, resulting in inappropriate anticoagulant and as…
49y · Male·ischaemic heart disease with coronary artery thrombosis (left main stem coronary…
…iaphoresis, and dyspnoea. His symptoms resolved before ambulance arrival. The paramedics performed a normal ECG and transported him to a primary care clinic rather than hospital. Dr V. assessed Mitchell as low-risk for …
27y · Male·Immersion in the setting of a motor vehicle incident
…isodes triggered by standing, stress, or witnessing illness, investigated by cardiology in 2011 with normal ECG. A 2017 ECG was also normal. Despite extensive investigation, the cause of vehicle departure cannot definit…
57y · Male·Severe coronary artery disease. It is likely that Kevin's use of inhalants in cu…
…ceived for his chronic inhalant use disorder was grossly inadequate. Clinical lessons include: (1) abnormal ECG results require timely specialist review and follow-up, not rescheduling for 2 years; (2) health alerts mus…
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