Coronial
QLDcommunity

MT - Non-inquest findings

Deceased

MT

Demographics

67y, male

Date of death

2016-10-20

Finding date

2017-03-13

Cause of death

coronary artery atheroma against a background of diabetes mellitus

AI-generated summary

A 67-year-old diabetic and smoker visiting from Japan died while snorkelling at Green Island. He engaged in two snorkelling sessions without reported difficulty, but was found unresponsive in the water during or after a second outing. CPR was performed for over an hour without success. Autopsy revealed significant coronary artery atherosclerosis with evidence of previous myocardial infarction and an enlarged heart. The coroner concluded death was due to acute coronary event rather than drowning. For clinicians: this case highlights the importance of pre-activity cardiovascular risk assessment in patients with multiple risk factors (age, diabetes, smoking) before strenuous activities. Patients with known diabetes and smoking history should undergo appropriate cardiac evaluation before engaging in physical exertion in remote settings where emergency services may have delayed response times.

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

Contributing factors

  • underlying coronary artery atherosclerosis
  • diabetes mellitus
  • smoking history
  • physical exertion during snorkelling
  • evidence of previous myocardial infarction
  • enlarged heart with scarring
Full text

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