John James Taylor, a 72-year-old man with Fragile X Syndrome and multiple comorbidities including atrial fibrillation, hypercholesterolaemia, and hypertension, was found deceased in his supported disability accommodation in Thornbury, Victoria. He died suddenly overnight while sleeping on the lounge, with no preceding signs of illness. Paramedics initiated CPR but were unable to revive him. Post-mortem examination revealed severe coronary artery calcifications and pleural effusion. Toxicology identified citalopram and valproic acid at therapeutic levels. The forensic pathologist determined the cause of death was unascertained natural causes. The coroner found no evidence that the quality of care provided in his disability accommodation contributed to his death. This case highlights the importance of recognising sudden cardiac death risk in older adults with significant cardiovascular risk factors, even in supported living environments.
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