Timothy Leighton Richardson, 82, died of ischaemic heart disease while in custody at Port Phillip Prison. He had extensive cardiac history including prior coronary artery grafts and a recent myocardial infarction in January 2019. In June 2019, he sustained a fall and imaging revealed cardiomegaly and severe heart failure. He deteriorated progressively and was transferred to Sunshine Hospital on 7 July 2019, where palliative care was initiated on 15 July. The coroner found the care provided by the Department of Justice and medical service providers was reasonable and appropriate. No clinical errors or preventable factors were identified. The death was from natural causes in the context of advanced cardiac disease.
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