Patrick Michael Heenan, a 50-year-old Aboriginal male prisoner, died of acute coronary atherosclerosis during a football game at Darwin Correctional Facility on 16 September 2006. He experienced chest pain at half-time and received appropriate immediate medical attention by prison staff, including rapid transport to the medical centre where CPR and defibrillation were administered. Autopsy revealed previously undiagnosed severe coronary atherosclerosis (80% stenosis), chronic hepatitis, diabetes, and hypertension. The coroner found the response by prison staff was timely and appropriate, and there was no want of care in his supervision or medical management. He died from a sudden cardiac event from undiagnosed atherosclerosis, a condition that neither he nor prison staff could reasonably have detected beforehand.
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