Case details

Treadmill stress test showed no sign of heart problem: doctor

SUMMARY

$0

Amount

Verdict-Defendant

Result type

Not present

Ruling
KEYWORDS
anoxic brain injury, coronary artery disease, heart attack
FACTS
In 2012, plaintiffs’ decedent Alexander Spadoni, 65, underwent an EKG and a myocardial perfusion imaging (MPI) treadmill test, which shows how well blood is flowing through the heart muscle. Spadoni was an avid runner who began to complain of chest pain and shortness of breath while running, which he believed was related to gastroesophageal reflux disease (GERD). As a result, he started seeing Dr. Christopher Suhar, a cardiologist at Scripps Clinic Medical Group Inc., in La Jolla, in 2010. Suhar ultimately had Spadoni undergo an EKG and an MPI treadmill test in 2012. However, the treadmill test showed that Spadoni was able to go well above the maximum stress for his age, while the EKG results showed potential indication for coronary artery disease. In 2013, Spadoni collapsed after suffering a heart attack while running. He was found and taken to an emergency room, where he was determined to have atrial fibrillation, a condition involving an irregular heart rhythm. He was also determined to have suffered an anoxic brain injury due to the heart attack causing a lack of oxygen to the brain. An angiogram was performed and coronary artery disease was found in the three main blood vessels. Spadoni subsequently remained in the hospital until his family decided to remove him from life support in March 2013. The decedent’s adult daughters, Tiffany Hans and Kimberly Spadoni, sued Suhar and Scripps Clinic Medical Group Inc. The decedent’s daughters alleged that the defendants failed to timely diagnose their father’s heart disease, resulting in his wrongful death, and that their failure constituted medical malpractice. Emerald Leon and Katherine McNeil were also initially named as defendants, but they were ultimately dismissed from the case. Thus, the matter continued to trial against Suhar and Scripps Clinic Medical Group only. Plaintiffs’ counsel contended that it was okay for Suhar to perform the MPI treadmill test, but that an angiogram should have been performed after the EKG revealed conflicting results. The plaintiffs’ cardiology expert also opined that an angiogram should have been performed as a result of the conflicting results. Suhar claimed that he ordered the MPI treadmill test because Spadoni had the same tests performed by other physicians in the past and that the test showed that Spadoni was able to go well above the maximum stress for a normal individual his age. The defense’s cardiology expert opined that Suhar made the right judgment call, in that it was okay to rely on the MPI scan because it is an accurate study and because Spadoni had no shortness of breath or problems with the test., Alexander Spadoni suffered an anoxic brain injury due to a lack of oxygen caused by a heart attack brought on by atrial fibrillation. He was subsequently brought to an emergency room, where an angiogram was performed and coronary artery disease was found in the three main blood vessels. Mr. Spadoni subsequently remained in the hospital until his family decided to remove him from life support. He ultimately died in March 2013, at the age of 66. The decedent was survived by his adult daughters, plaintiffs Tiffany Hans and Kimberly Spadoni. Thus, Ms. Hans and Ms. Spadoni sought recovery of wrongful death damages due to the loss of their father.
COURT
Superior Court of San Diego County, San Diego, CA

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