169 results for “ECG”
83y · Female·haemopericardium due to ruptured acute myocardial infarction with underlying cor…
An 83-year-old woman presented to Mersey Community Hospital with vomiting and suspected gastroenteritis. An ECG was performed as a routine process and clearly demonstrated acute ST-elevation myocardial infarction (STEMI…
75y · Male·Multi-organ failure secondary to cardiogenic shock and anterior myocardial infar…
…spital ED with acute anterior STEMI but diagnosis was delayed by approximately 10 hours. The first hospital ECG at 6:47am showed diagnostic ST elevation but was not recognised by ED or cardiology staff. Critical failure…
22y · Female·Sudden Arrhythmic Death Syndrome
…th syndrome due to long QT syndrome (LQTS). She presented multiple times to the Royal Women's Hospital with ECG changes and electrolyte abnormalities during pregnancy. Critical failures occurred in ECG interpretation an…
80y · Male·acute myocardial ischaemia due to coronary atherosclerosis
…owing knee surgery. On postoperative day 3, he developed chest symptoms, elevated troponin, and hypoxia. An ECG was performed showing acute anterior myocardial infarction, but this was not recognised by the treating tea…
Male·acute myocardial infarction due to coronary artery disease (all four); specific …
…drome but were not identified as such. Key failures included: failure to obtain or act on previous abnormal ECGs indicating prior myocardial infarction; inadequate risk factor assessment (particularly diabetes, smoking,…
73y · Male·Consequences of myocardial infarction with coronary artery atherosclerotic disea…
…ure on 6 May 2013, six days after hip fracture surgery. He suffered a fall on 30 April 2013 following which ECG testing revealed cardiac abnormality. A first ECG at Sydney Hospital showed minor non-specific ST changes t…
65y · Male·ischaemic and hypertensive heart disease with contributing acute cholecystitis (…
… and initially recovered well. On post-operative day 7, he experienced chest pain radiating to his jaw. Two ECGs were performed, both showing acute inferior myocardial infarction with ST elevation. The automated ECG int…
35y · Male·Cardiac arrest due to incessant ventricular fibrillation/ventricular tachycardia…
…ED with chest pain but was triaged as category 4. After collapse and retriage to category 3, he received an ECG at 1:05 AM but results were not reviewed by the treating doctor. He discharged himself at 2:55 AM against m…
84y · Female·Myocardial infarction
…ion following elective proctocolectomy. Post-operative care was deficient: chest pain on day 2 post-op with ECG showing atrial fibrillation and new right bundle-branch block was not investigated with troponin or blood t…
45y · Male·focal coronary artery disease and cardiomegaly
…s prescribed multiple antipsychotic and sedative medications to manage his severe agitation and aggression. ECG monitoring revealed progressive QT interval prolongation, which can increase cardiac arrhythmia risk with c…
39y · Male·Acute myocardial infarction arising from coronary artery atherosclerosis
Andrew Timothy Davies, a 39-year-old prisoner, presented with chest pain in August 2007. A 12-lead ECG was performed by Nurse Skrabl, a Division 2 registered nurse, showing abnormalities consistent with inferio…
80y · Female·sudden cardiac arrest due to multiple post-operative complications including myo…
…tiary hospital for TPN and bowel stimulation. She had an undiagnosed long QT syndrome (identified on a 2010 ECG). At the receiving hospital, she was administered multiple QT-prolonging drugs (erythromycin and metoclopra…
3y · Female·complications of Influenza B viral infection
…, she was triaged as Category 4 rather than higher acuity, experienced another seizure-like episode, but an ECG was not performed due to equipment battery failure. An ECG performed on the ward at 8:39pm showed widesprea…
40y · Male·ischaemic heart disease due to coronary atherosclerosis
…her cardiac origin could be excluded. The triage nurse deemed the pain musculoskeletal without an immediate ECG. After waiting 34 minutes with no clear indication of waiting time, the patient left feeling slightly bette…
41y · Female·acute myocardial infarction
… was discharged with a diagnosis of reflux. Critical failures included: (1) failure to recognise diagnostic ECG changes between two tracings taken one hour apart - changes that should have triggered high-risk classifica…
55y · Female·acute myocardial infarction due to right coronary artery thrombosis
…emergency department with 24 hours of chest pain, arm pain, sweating and vomiting was discharged without an ECG or troponin measurement. She had an abdominal CT suggesting cholecystitis, but the coroner's medical adviso…
49y · Female·Acute myocardial infarction secondary to giant-cell arteritis and atherosclerosi…
… chest pain described as atypical and unlikely ischaemic, given absent traditional cardiac risk factors. No ECG or troponin testing was performed; an exercise stress echocardiogram was ordered for investigation days to …
60y · Female·haemopericardium following thoracic aortic dissection Type A
…d smoking history, presented to the ED with back pain, vomiting, incontinence, and sore throat. An abnormal ECG was obtained but not appropriately interpreted. She had minimal urine output over 7.5 hours despite cathete…
69y · Male·Myocardial infarction secondary to coronary artery atherosclerosis in the settin…
…topsy revealed acute myocardial infarction secondary to critical coronary artery atherosclerosis. A planned ECG was not performed due to patient restlessness. The coroner found no clinical fault with ED or GP management…
35y · Female·Pulmonary thromboembolus and pulmonary infarction
… a junior resident working alone overnight, assessed her as musculoskeletal pain and discharged her without ECG or imaging. She returned 17 hours later in near-cardiac collapse with massive bilateral pulmonary emboli an…
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