Document Detail

[The unrecognized myocardial infarction].
MedLine Citation:
PMID:  21120784     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND OBJECTIVES: despite the improved quality of diagnostic technology, myocardial infarction still belongs to the diseases that are most frequently overlooked. Especially asymptomatic patients or patients with atypical symptoms are more common to be misdiagnosed. Failure to correctly diagnose is the leading cause of malpractice claims. It was the aim of this study to evaluate the records of patients who died from myocardial infarction and to analyse whether medical malpractice had occured in those who had undergone a medical examination shortly before their death.
METHODS: in the years 2008 and 2009 myocardial infarction had been diagnosed in 109 auotopsies performed at the Institute of Legal Medicine of the Hanover Medical School. The records of these patients who had died from myocardial infarction were retrospectively analysed with particular emphasis on an antemortem medical consultation, reported symptoms and diagnostic measures.
RESULTS: in 38 persons (34.9 %) an antemortem medical consultation or hospitalisation has taken place, whereby in five persons the diagnosis of myocardial infarction was suspected. In 33 persons, a myocardial infarction could not be diagnosed antemortem. In two cases an additionally cardiologic assessment was recommended to estimate if medical malpractice was present and in another two cases with insufficient diagnostic measures medical malpractice was reproached from forensic pathologists.
CONCLUSION: autopsy give the most accurate diagnostic information. On the other hand, it may provide an effective defence against medical malpractice litigation.
S Jänisch; J Börnsen; N Turmanov; U V Albrecht; D Günther; A Fieguth
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Publication Detail:
Type:  English Abstract; Journal Article     Date:  2010-11-30
Journal Detail:
Title:  Deutsche medizinische Wochenschrift (1946)     Volume:  135     ISSN:  1439-4413     ISO Abbreviation:  Dtsch. Med. Wochenschr.     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-12-01     Completed Date:  2010-12-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0006723     Medline TA:  Dtsch Med Wochenschr     Country:  Germany    
Other Details:
Languages:  ger     Pagination:  2451-5     Citation Subset:  IM    
Institut für Rechtsmedizin der Medizinischen Hochschule Hannover.
Vernacular Title:
Der nicht erkannte Myokardinfarkt.
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MeSH Terms
Aged, 80 and over
Diagnosis, Differential
Diagnostic Errors*
Germany / epidemiology
Middle Aged
Myocardial Infarction / diagnosis*,  mortality*
Retrospective Studies

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