ischaemic heart disease with significant atherosclerotic narrowing of all three major epicardial coronary arteries, myocardial and endocardial fibrosis, and moderate cardiomegaly
AI-generated summary
Lindsay Allan Fry, a 61-year-old prisoner with poorly controlled Type II diabetes, died of ischaemic heart disease while in custody at Yatala Labour Prison. Autopsy revealed marked coronary artery atherosclerosis, myocardial fibrosis, moderate cardiomegaly, and evidence of previous stroke. Fry had a lifelong pattern of non-compliance with diabetes management—refusing medications, diabetic diet, and medical screening despite multiple interventions by prison health staff and hospital specialists. Toxicology showed no medications in his bloodstream despite being observed taking them that morning, consistent with his documented behaviour of refusing treatment. The coroner found no deficiency in his healthcare while in custody and concluded death resulted from natural progression of uncontrolled diabetes and atherosclerotic disease. No recommendations were made.
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