---
title: Failure to Diagnose Impending Myocardial Infarction in Primary Care
description: "This article uses case studies based on NORCAL Group closed claims against PCPs to illustrate various causes of
AMI diagnosis errors."
---

[Claims Rx Directory | NORCAL Group ](https://www.norcal-group.com/claimsrx)

# [Failure to Diagnose Impending Myocardial Infarction in Primary Care](https://www.norcal-group.com/claimsrx/failure-to-diagnose-impending-myocardial-infraction-in-primary-care)

 Written by [NORCAL Group](https://www.norcal-group.com/claimsrx/author/norcal-group) | Feb 4, 2019

This article uses case studies based on NORCAL Group closed claims against PCPs to illustrate various causes of AMI diagnosis errors, including: incomplete medical history and/or physical exam; failure to rule out impending AMI or AMI when chest pain could be attributed to a non-cardiac cause; EKG misinterpretations; failure to make a timely referral to the ED; and failure to adequately supervise advanced practice professionals.

| **SPECIAL FEATURE** AMI Diagnosis Guidelines **CASE ONE ** Diagnosis of Gastroesophageal Reflux Disease in a Patient with Impending MI **SPECIAL FEATURE** Marburg Heart Score for Patients with Chest Pain **CASE TWO**  Failure to Properly Interpret an ECG | **SPECIAL FEATURE** Gender Differences in AMI Symptoms and Risk Factors **SPECIAL FEATURE** Other Categories of Patients in Whom AMI Diagnosis Can Be Challenging **CASE THREE**  Problematic Documentation **CASE FOUR ** Vicarious Liability for Physician Assistant Failure to Diagnose AMI |
| --- | --- |

 

[View full post](https://www.norcal-group.com/claimsrx/failure-to-diagnose-impending-myocardial-infraction-in-primary-care)

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