Lateral left ventricular myocardial infarction attributed to severe left circumflex chronic calcific stenosis
AI-generated summary
An 82-year-old man with severe chronic obstructive airways disease and dementia died of acute myocardial infarction while detained under mental health legislation in a secure psychiatric ward. He had been given clonazepam before bed and placed in restraining straps for safety due to previous falls and physical agitation. He was found unresponsive approximately 3 hours later. Post-mortem examination confirmed death from lateral left ventricular myocardial infarction due to severe left circumflex coronary stenosis, with chronic obstructive airways disease as a contributing factor. Investigation confirmed no asphyxial features from restraints, no drug allergy reaction, and no suspicious circumstances. The coroner found no grounds for criticism of care provided.
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Specialties
psychiatrygeriatric medicinerespiratory medicinecardiologyforensic medicine
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