Coronial
NTother

Inquest into the death of John Angeles

Deceased

John Allan Angeles

Demographics

79y, male

Date of death

2014-12-03

Finding date

2015-10-16

Cause of death

Ischaemic heart disease

AI-generated summary

John Angeles, aged 79, died of ischaemic heart disease while serving a life sentence for murder. He had severe triple-vessel coronary disease, chronic lung disease, and was on maximal medical therapy. The coroner found his care in prison was of appropriate standard and delivered in accordance with his wishes (including a not-for-resuscitation directive). Concerns were raised by his sister about pain management and medical recommendations not being followed. However, the coroner found pain relief was adequate; he had good cardiac pain control after November 11 despite initially refusing medications. Medical recommendations (particularly palliative patches) were discussed with him. When issues arose (inadequate pain management on November 9), the Commissioner immediately rectified them. The coroner concluded the medical care was appropriate and the death was not preventable.

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

Specialties

cardiologypalliative caregeneral practiceoccupational and environmental health

Error types

delay

Drugs involved

morphineparacetamolfurosemidemetoclopramideirbesartanbisoprololclopidogrelmirtazapineglyceryl trinitrate

Clinical conditions

ischaemic heart diseasechronic airways diseaseemphysemacoronary artery disease (triple vessel)type 2 diabetes mellitusrenal impairmenthypercholesterolaemiaacute coronary syndromenausea

Procedures

coronary artery visualisation

Contributing factors

  • Chronic lung disease
  • Advanced age
  • Diabetes mellitus
  • Triple-vessel coronary artery disease
  • Refusal of revascularization surgery
  • Imprisonment limiting care options
Full text

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