Coronial
NSWother

Inquest into the death of Robert HOWLETT

Deceased

Robert Howlett

Demographics

74y, male

Date of death

2015-11-03

Finding date

2020-04-22

Cause of death

Ischaemic heart disease and coronary atherosclerosis

AI-generated summary

Mr Robert Howlett, a 74-year-old man with extensive comorbidities including chronic lung disease, hypertension and severe hearing disability, died of ischaemic heart disease and coronary atherosclerosis while in custody at Long Bay Correctional Centre. During his September-November 2015 custodial period, nifedipine (an antihypertensive he had been taking in the community) was not prescribed. Concerns were raised about this medication omission. However, expert cardiological opinion determined that withholding nifedipine was appropriate given his measured blood pressures were already low (101-116 systolic), and that had it been known nifedipine was his usual medication, it would likely have been appropriately withheld for safety reasons. The expert concluded the failure to prescribe nifedipine made no contribution to his death. His death resulted from natural cardiac causes.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.

Contributing factors

  • chronic lung disease with multiple exacerbations
  • hypertension
  • atrial fibrillation episodes
  • recent lower respiratory infections
  • extensive comorbidities
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