left middle cerebral artery cerebrovascular accident
AI-generated summary
An 83-year-old male prisoner died from a left middle cerebral artery stroke on 26 October 2022, seven days after presenting with acute stroke symptoms. Mr Radan had atrial fibrillation and was prescribed dabigatran for anticoagulation and secondary stroke prevention. However, he refused anticoagulation and other cardiac medications for over 12 months prior to his fatal stroke. Forensic medicine advice confirmed that had Mr Radan complied with dabigatran, he would likely not have developed the stroke. The coroner found the healthcare provided to Mr Radan met appropriate standards and there were no suspicious circumstances. No preventable system failures were identified. The case illustrates the clinical challenge of managing medication refusal in competent patients with serious medical conditions.
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