A 64-year-old man died in custody from hypertensive and valvular heart disease. He had pre-existing cardiac disease diagnosed in 2008, including mild aortic stenosis and left ventricular hypertrophy, managed in the community before incarceration. In prison, he remained on appropriate medications (aspirin, Olmesartan, Telfast) prescribed by the prison doctor. He presented with chest pain in November 2013, underwent coronary angiography showing normal coronaries, and was cleared medically. In February 2014, he reported a dizzy spell but was reassured after nursing assessment. He died suddenly while in his prison cell on 22 November 2014, found lying on his bunk. Resuscitation efforts were initiated promptly but unsuccessful. The coroner found no deficiency in care provided at either prison facility and concluded his death was from natural causes related to his underlying cardiac disease.
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