Van Moolenbroek, Gregory David
Deceased
Gregory David Van Moolenbroek
Demographics
44y, male
Date of death
2010-05-10
Finding date
2012-08-10
Cause of death
Coronary atherosclerosis (despite stenting) with cardiac arrhythmia triggered by exertion
AI-generated summary
A 44-year-old man with significant coronary artery disease (despite previous stenting) died of acute coronary syndrome triggered by exertion on a rural property. He called his wife at 1:30pm reporting chest discomfort; she summoned an ambulance at 1:31pm. The ambulance crew was dispatched at 1:38pm but could not locate the remote, unmarked property despite extensive searching. The patient's wife found him unresponsive at 2:17pm and initiated CPR. Both ambulance units located him at 2:44pm but resuscitation was unsuccessful. The coroner found the patient was likely already dead by 2:17pm and that ambulance response delays did not contribute to his death. The clinical lesson concerns recognition of cardiac risk in patients with known coronary disease and exertion; no clinician error was identified.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Specialties
Clinical conditions
Contributing factors
- severe occlusive atheroma with approximately 70% narrowing and calcification of left anterior descending coronary artery
- physical exertion at remote rural property
- pre-existing cardiac arrhythmia
- difficulty locating unmarked rural property
Coroner's recommendations
- Other regional councils adopt the approach taken by Mackay Regional Council of providing reflective property number signs at no charge to landholders to assist emergency responders in locating rural properties quickly
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