Deceased
James Edmund Clayton
Demographics
59y, male
Date of death
2013-03-03
Finding date
2016-08-19
Cause of death
ischaemic heart disease due to coronary atherosclerosis; acute myocardial infarction of posterior left ventricle and posterior right ventricle
AI-generated summary
A 59-year-old man with ischaemic heart disease, paranoid schizophrenia, unstable type 2 diabetes, peripheral vascular disease and chronic renal failure died of acute myocardial infarction while residing in aged care. He had been admitted to hospital on 6 February 2013 with a silent myocardial infarction showing severe left ventricular dysfunction, but discharged himself against medical advice before coronary angiography could be performed. Autopsy confirmed a large recent posterior myocardial infarction. Clinical lessons include: the importance of securing appropriate investigations and stabilisation before discharge in high-risk cardiac patients; managing non-compliance and agitation in mentally ill patients with serious cardiac disease; and ensuring adequate cardiac risk stratification and monitoring in aged care residents with multiple comorbidities. Hypoglycaemia at death may have contributed. Earlier coronary angiography and potential intervention might have altered outcome.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Error types
Clinical conditions
Procedures
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