Cardiac arrhythmia caused by atherosclerotic and hypertensive cardiovascular disease
AI-generated summary
A 40-year-old man with acquired brain injury died suddenly during hydrotherapy at a public pool. Expert cardiology evidence established he died from cardiac arrhythmia secondary to underlying cardiovascular disease, unrelated to his presence in water. The coroner found no preventable factors contributed to his death. While the therapist could ideally have obtained more comprehensive medical information beforehand and documented a formal risk assessment, this was not causative. The pool lacked an automated external defibrillator (AED); had one been present and immediately available, survival chances would have been less than 10% due to his significant comorbidities and likely asystolic cardiac arrest. The case highlights that sudden cardiac death from pre-existing heart disease can be unforeseeable in vulnerable individuals even with multiple risk factors.
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