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Coroner's Finding: Esposito, Pasquale

Deceased

Pasquale Esposito

Demographics

76y, male

Date of death

2020-02-10

Finding date

2022-04-14

Cause of death

combined effects of acute myocardial infarction and urosepsis

AI-generated summary

Pasquale Esposito, age 76, died in custody at Lyell McEwin Hospital from combined acute myocardial infarction and urosepsis. He had extensive cardiac history including prior MI, CABG, COPD, and recent stent placement. On 7 February 2020, he presented with chest pain, shortness of breath, fever, and elevated inflammatory markers suggesting infection precipitating cardiac decompensation. Despite initial improvement, he deteriorated with sepsis, acute kidney injury, pulmonary oedema, and troponin >1000. He suffered two cardiac arrests on 9-10 February; CPR was unsuccessful. The coroner found no concerns regarding his care or custody circumstances, and made no recommendations.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.

Specialties

cardiologyinfectious diseasesintensive careemergency medicinecorrectional health

Drugs involved

antibioticsadrenaline

Clinical conditions

acute myocardial infarctionurosepsissepsisseptic shockacute kidney injurypulmonary oedemaatrial fibrillationheart failurecoronary artery diseasechronic obstructive pulmonary diseasediabetes mellitushypertensionpulseless electrical activity cardiac arrestventricular fibrillation

Procedures

angiogramstent insertionnon-invasive ventilationcardiopulmonary resuscitationdialysis

Contributing factors

  • significant coronary artery disease with prior CABG
  • chronic obstructive pulmonary disease
  • diabetes and hypertension
  • recent stent placement (September 2019)
  • bacterial infection precipitating cardiac decompensation
  • acute kidney injury
  • sepsis with septic shock
  • acute pulmonary oedema
Full text

Source and disclaimer

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