Coronial
VICcommunity

Finding into death of Andrew John Griffith

Deceased

Andrew John Griffith

Demographics

49y, male

Date of death

2011-06-24

Finding date

2014-02-04

Cause of death

Acute myocardial infarction due to coronary artery atherosclerosis with thrombus

AI-generated summary

A 49-year-old man with significant cardiac risk factors (smoking, hypertension, diabetes, hypercholesterolaemia, family history) presented to his GP with retrosternal chest pain two days before death. The GP diagnosed indigestion based on symptom relief with antacids and prescribed acid reflux medication. No electrocardiogram or cardiac markers were obtained. The patient died of acute myocardial infarction from a coronary thrombus that histologically was approximately one week old, meaning it developed before or around the time of the GP consultation. Expert reviews found the diagnosis was reasonable given the patient's presentation and symptom relief with antacids, but noted the patient minimised symptoms and was not entirely frank about their severity. The coroner emphasised the importance of documenting vital signs and clear management plans, and highlighted the role of patient candour in clinical assessment.

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

Contributing factors

  • patient minimised and understated symptoms
  • patient not entirely frank about severity of pain and response to antacids
  • lack of electrocardiogram and cardiac enzyme testing
  • absence of detailed vital sign documentation
  • absence of clearly articulated management plan in medical record
  • significant unrecognised cardiac risk factors
  • patient fear of hospitals and reluctance to seek appropriate care

Coroner's recommendations

  1. Promote utilisation of the National Heart Foundation educational resources on signs of a heart attack
  2. Emphasise the importance of a clearly articulated management plan if symptoms are unrelieved by the implemented treatment
  3. Emphasise the importance of vital sign documentation in the medical record
  4. Emphasise the dangers of accepting an anxiety disorder as an explanation for clinical symptoms
Full text

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