ECG was not controlled - patient died

The patient was newly moved into the county and visited the health center for the control and rescheduling of a leg ulcer. A few days later, the patient has a scheduled visit with a doctor and an ECG is taken prior to that visit.

The ECG's vending machine interpretation shows suspected myocardial infarction, but it is never detected because the ECG is not checked directly but added to the physician who will have the patient a few days later.

Five hours after the visit to the health center, the patient receives cardiac arrest at home and dies.

Afterwards, the ECG is examined and the patient is judged to have died of acute myocardial infarction.

It all happened in the fall of 2018.