Burgess, Terence Neil
Deceased
Terence Neil Burgess
Demographics
50y, male
Date of death
2017-08-11
Finding date
2019-12-06
Cause of death
Ischaemic and valvular heart disease (severe aortic stenosis) with other significant conditions including hypertension and hyperlipidaemia
AI-generated summary
A 50-year-old man with severe ischaemic and valvular heart disease (aortic stenosis) died suddenly in hospital following multiple myocardial infarctions. He had consistently refused invasive interventions including valve replacement surgery despite medical recommendations, electing comfort care only. He experienced a further MI four days before death and signed an Acute Resuscitation Plan declining resuscitation. Clinical review found his care was appropriate and met community standards. Sudden cardiac death is a recognised complication of symptomatic severe aortic stenosis with annual mortality 8-34%. The coroner found no preventable factors and no criticism of medical management. Key lesson: when patients with severe valvular disease competently refuse surgery, supportive medical management and respect for autonomy remain appropriate, though prognosis remains poor regardless.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Clinical conditions
Contributing factors
- Refusal of invasive surgical intervention (aortic valve replacement)
- Refusal of angioplasty/stenting despite medical recommendation
- Multiple myocardial infarctions
- Severe congestive cardiac failure
- Poor prognosis with medical management alone
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