Coronial
VIChome

Finding into death of R T

Deceased

RT

Demographics

66y, male

Coroner

Coroner Ingrid Giles

Date of death

2023-09-17

Finding date

2025-03-18

Cause of death

Complications of excess alcohol intake in a man with heart disease

AI-generated summary

A 66-year-old man died from complications of excess alcohol intake in the setting of underlying heart disease. He had a 40+ year history of heavy daily alcohol consumption (12+ cans of beer plus whiskey daily), chronic pain from previous bowel surgery and hernia, and undiagnosed mild heart disease. Post-mortem toxicology showed ethanol 0.16 g/100mL and evidence of alcoholic ketoacidosis (elevated beta-hydroxybutyrate). He was on melatonin, indomethacin, mirtazapine and tramadol for pain, anxiety and depression. The coroner identified no specific clinical errors but used this case to highlight systemic gaps in Victoria's alcohol harm reduction strategy, noting a 20-year gap since the last coordinated action plan despite consistent evidence on what interventions reduce alcohol-related deaths.

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

Specialties

general practiceemergency medicinepathologycardiology

Drugs involved

alcoholmelatoninindomethacinmirtazapinetramadolamisulprideclozapinecannabis

Clinical conditions

alcohol dependencechronic alcoholismcardiomegalycoronary artery diseasecoronary artery calcificationalcoholic ketoacidosischronic painanxietydepressioninsomniastoma complication

Contributing factors

  • chronic heavy alcohol consumption over 40+ years
  • undiagnosed mild heart disease with cardiomegaly and coronary artery disease
  • chronic pain from previous bowel surgery (Hartmann's procedure)
  • hernia causing ongoing pain
  • self-medication with alcohol for pain management
  • mental health issues including anxiety and depression
  • alcoholic ketoacidosis
  • lack of engagement with rehabilitation or counselling services

Coroner's recommendations

  1. The Victorian Government, led by the Victorian Department of Health, should develop: (i) a new Alcohol Action Plan; or (ii) a program of work (including specific actions, timeframes, accountabilities, and public reporting on implementation and evaluation) to address alcohol-related harms in Victoria
Full text

Source and disclaimer

This page reproduces or summarises information from publicly available findings published by Australian coroners' courts. Coronial is an independent educational resource and is not affiliated with, endorsed by, or acting on behalf of any coronial court or government body.

Content may be incomplete, reformatted, or summarised. Some material may have been redacted or restricted by court order or privacy requirements. Always refer to the original court publication for the authoritative record.

Copyright in original materials remains with the relevant government jurisdiction. AI-generated summaries and tagging are for educational purposes only, may contain inaccuracies, and must not be treated as legal documents. We welcome feedback for correction — report an inaccuracy here.