Deceased
Jonathan Alan Uphill
Demographics
84y, male
Coroner
Coroner Audrey Jamieson
Date of death
2022-03-03
Finding date
2025-02-26
Cause of death
Ischaemic heart disease and coronary artery atherosclerosis in the setting of type 2 diabetes mellitus, recent dental clearance, and hypertension
AI-generated summary
Jonathan Uphill, an 84-year-old man with extensive comorbidities including type 2 diabetes, hypertension, and prior cardiac risk factors, died of ischaemic heart disease with coronary artery atherosclerosis. He underwent total dental clearance (extraction of 15 teeth) on 1 March 2022 without intraoperative complications. The following day he developed vomiting, fever, back pain and deteriorated rapidly into cardiac arrest. While the dental procedure was a physiological stressor in a patient with underlying severe cardiac disease, the coroner found no evidence the procedure itself caused his death, noting appropriate pre-operative assessment and consent. Ambulance Victoria experienced significant delays (70 minutes initial response during a Priority 3 call), but the coroner concluded that even earlier attendance would unlikely have prevented death given his advanced age and multiple comorbidities. Key clinical lesson: total dental clearance in elderly patients with significant cardiac disease requires careful pre-operative assessment and close post-operative monitoring for complications, though the procedure itself was considered standard practice.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Error types
Drugs involved
Clinical conditions
Procedures
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