Coronial
VIChospital

Finding into death of QB T

Deceased

QBT

Demographics

64y, male

Coroner

Coroner Kate Despot

Date of death

2024-04-26

Finding date

2025-04-11

Cause of death

Complications of congestive cardiac failure on a background of cardiac hypertrophy

AI-generated summary

QBT, a 64-year-old man with complex medical and psychiatric history including schizophrenia, COPD, and hypertension, was admitted to Bendigo Hospital on an Assessment Order after police concerns about mental health deterioration. During his 8-day admission, he developed progressive shortness of breath, hypoxia, and multiorgan failure despite appropriate clinical responses including MET calls and investigations. Autopsy revealed congestive cardiac failure with cardiac hypertrophy as the primary cause. The Coroners Prevention Unit noted his initial presenting signs were atypical for cardiac failure and it remained unclear why he deteriorated so rapidly. Clinicians appropriately recognised and responded to his clinical deterioration with timely escalations and investigations, though no reversible cause was identified to explain his acute decompensation.

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

Specialties

psychiatrygeneral medicinecardiologyemergency medicine

Drugs involved

diazepamnordiazepamtemazepamolanzapineondansetronparacetamolflunaxolfurosemidedexamethasone

Clinical conditions

congestive cardiac failurecardiac hypertrophybiventricular dilatationchronic obstructive pulmonary diseasehypertensionpneumoniamulti-organ failureacute renal failurehepatic dysfunctionhypoxiahepatitis Cchronic paranoid schizophrenia

Procedures

CT brain scan

Contributing factors

  • Chronic obstructive pulmonary disease
  • Hypertension
  • Cardiac hypertrophy
  • Biventricular dilatation
  • Bilateral pleural effusions
Full text

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