Medical Malpractice: A Cardiovascular Perspective

Tan, Siang Yong

doi:10.1111/j.1755-5922.2010.00254.x

Cited by 6 publications

(3 citation statements)

References 22 publications

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“…Finally, myocardial IRI is a critical issue also for forensic pathologists since sudden death may occur despite timely reperfusion following AMI, that is one of the most frequently litigated areas of cardiology practice [ 26 , 27 ].…”

Section: Introductionmentioning

confidence: 99%

Ischemia/Reperfusion Injury following Acute Myocardial Infarction: A Critical Issue for Clinicians and Forensic Pathologists

Neri

Riezzo

Pascale

et al. 2017

Mediators of Inflammation

311

232

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Acute myocardial infarction (AMI) is a leading cause of morbidity and mortality. Reperfusion strategies are the current standard therapy for AMI. However, they may result in paradoxical cardiomyocyte dysfunction, known as ischemic reperfusion injury (IRI). Different forms of IRI are recognized, of which only the first two are reversible: reperfusion-induced arrhythmias, myocardial stunning, microvascular obstruction, and lethal myocardial reperfusion injury. Sudden death is the most common pattern for ischemia-induced lethal ventricular arrhythmias during AMI. The exact mechanisms of IRI are not fully known. Molecular, cellular, and tissue alterations such as cell death, inflammation, neurohumoral activation, and oxidative stress are considered to be of paramount importance in IRI. However, comprehension of the exact pathophysiological mechanisms remains a challenge for clinicians. Furthermore, myocardial IRI is a critical issue also for forensic pathologists since sudden death may occur despite timely reperfusion following AMI, that is one of the most frequently litigated areas of cardiology practice. In this paper we explore the literature regarding the pathophysiology of myocardial IRI, focusing on the possible role of the calpain system, oxidative-nitrosative stress, and matrix metalloproteinases and aiming to foster knowledge of IRI pathophysiology also in terms of medicolegal understanding of sudden deaths following AMI.

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Section: Introductionmentioning

confidence: 99%

Ischemia/Reperfusion Injury following Acute Myocardial Infarction: A Critical Issue for Clinicians and Forensic Pathologists

Neri

Riezzo

Pascale

et al. 2017

Mediators of Inflammation

311

232

View full text Add to dashboard Cite

show abstract

“…While liability risks within cardiology and cardiac surgery have been well-documented, [3][4][5] little is known about liability involving trainees in these fields. Involvement of trainees has been studied in other specialties, 6 but there remains a dearth of information in cardiology and cardiovascular surgery.…”

mentioning

confidence: 99%

“…5 Other commonly cited reasons for cardiac malpractice cases also include unnecessary studies and complications following angioplasty, postoperative bleeding, and infection. 3 Further insight to the commonalities, the pit-falls and the high-risk situations in training the future of cardiac care will both improve the care of patients but also the quality of future cardiologists and cardiac surgeons.…”

mentioning

confidence: 99%

Review of Cardiac Malpractice Cases Involving a Trainee

McElhinny

Pappas

Lindor

2021

Cardiology in Review

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Lawsuits involving medical trainees are underappreciated and poorly documented, including within cardiology-related fields. The purpose of this review was to characterize clinical characteristics and legal outcomes of cardiology- and cardiac surgery-related lawsuits involving trainees. Westlaw, an online legal research database containing legal records from around the United States, was retrospectively reviewed for malpractice cases involving medical students, residents, or fellows through November 2020. Cases included both cardiac and cardiac surgery cases. A total of 28 cases were identified, with 16 involving female patients (57%). In the 17 cases in which patient age was included, the median age was 51 years. A total of 22 (79%) cases resulted in death or permanent disability. The most common alleged errors included procedural issues (n = 14, 50%) and failure to diagnose (n = 7, 25%). A total of 14 cases (50%) ended in favor of the physicians, 9 (32%) ended in a settlement or verdict against the physician, and 5 cases had an unknown outcome. Of the 8 cases in which the settlement or verdict amount was reported, the median payment was $1,291,992 with a range of $220,507–$30,000,000. This review of cardiac and cardiac surgery malpractice cases involving a trainee suggests trainee involvement in procedures and diagnosis may confer relatively high liability risks for both trainees and their supervisors.

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Forensic Pathology and Malpractice in Cardiology and Cardiac Surgery

Montisci

2017

P5 Medicine and Justice

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Medical Malpractice: A Cardiovascular Perspective

Abstract: SUMMARYThis article reviews the elements of medical malpractice, informed consent, and affirmative defense; and discusses the legal risks associated with the diagnosis and therapy of cardiovascular disease.

Cited by 6 publications

References 22 publications

Ischemia/Reperfusion Injury following Acute Myocardial Infarction: A Critical Issue for Clinicians and Forensic Pathologists

Ischemia/Reperfusion Injury following Acute Myocardial Infarction: A Critical Issue for Clinicians and Forensic Pathologists

Review of Cardiac Malpractice Cases Involving a Trainee

Forensic Pathology and Malpractice in Cardiology and Cardiac Surgery

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