Abstract: . . .  for more than simply following outdated standards. There is ample medical literature that provides the attorney with a basis for challenging long-held standards and mandating consideration of further diagnostic testing for chest pain that may lead to myocardial infarction and death. ACRONYMS ECG = EKG = electrocardiogram. This analysis of the electrical events occurring during a heart beat was de- veloped in Holland which explains the wide usage of K instead of C in the acronym. ETT is an exercise treadmill test. An treadmill is used to raise the rate at which the heart beats and increase the heart s demand for blood flow. The patient is monitored by electrocardi- ography (ECG). The typical test lasts about 10 minutes and involves increas- es in the speed of walking and the in- cline. These graded changes in the test Page 5 A Fatal Standard Of Care For Heart Attack Victims? continued most often follow an agenda called the Bruce Protocol. ACI is acute cardiac ischemia. Ischemia is the starvation of muscle cells for oxygen brought on by a reduc- tion of blood flow. MI is a myocardial infarction. An infarction is muscle cell death caused by an extended starvation of muscle cells for oxygen. The area of the heart that has died will not recover well and if the infarction is extensive, a trans- plant may be the only treatment. Eugene M. Moen is a partner in the Seattle firm of Chemnick, Moen & Greenstreet, where his practice emphasizes medical negligence and other complex litigation. Roger J. Leslie has a Ph.D. In molecular biology and received his J.D. In 1997 from Seattle University Law School. He is presently an associate with the law firm of Lembhard G. Howell.  . . .
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