Chettiar, Dharam Raj
Deceased
Dharam Raj Chettiar
Demographics
82y, male
Date of death
2013-07-04
Finding date
2014-11-04
Cause of death
Ischaemic cardiomyopathy resulting from coronary atherosclerosis (with previous bypass graft surgery)
AI-generated summary
An 82-year-old man with longstanding cardiac disease and renal failure died in custody from acute heart failure. He had been imprisoned for 3 years with well-documented cardiac history requiring 42 hospital transfers. In June 2013, he declined coronary angiography and established an advance resuscitation plan excluding intubation, ventilation, and intensive care due to end-stage coronary artery disease and renal failure. He collapsed in his cell on 4 July 2013 at 1:40am with acute pulmonary oedema confirmed on chest X-ray. His wishes were respected and he died at 7:10am. Independent medical review confirmed that care at both the correctional centre and hospital was adequate and appropriate. The coroner found no preventable factors and no clinical errors warranting comment.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Drugs involved
Contributing factors
- longstanding coronary artery disease with previous bypass surgery
- chronic kidney disease
- type 2 diabetes mellitus
- acute pulmonary oedema
- advance resuscitation plan in place limiting intervention
Full text
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