Coronial
VIChospital

Finding into death of Neville Stanley Andrews

Deceased

Neville Stanley Andrews

Demographics

69y, male

Coroner

Coroner Kate Despot

Date of death

2023-09-20

Finding date

2026-03-25

Cause of death

Pericarditis

AI-generated summary

A 69-year-old man with a history of atrial fibrillation, chronic kidney disease, congestive cardiac failure, and Fragile X Syndrome presented to the Emergency Department with dyspnea following an unwitnessed fall. He was diagnosed with acute pulmonary edema and congestive heart failure, rapidly deteriorated, and was placed on BIPAP support. Despite treatment, his condition did not improve overnight. The following morning, his family and treating physicians made a joint decision to transition to comfort care, and he died shortly thereafter. Autopsy confirmed pericarditis as the cause of death. This case highlights the importance of comprehensive cardiac assessment in patients with known cardiac disease presenting with respiratory distress, and the challenge of managing complex cardiac conditions in elderly patients with multiple comorbidities.

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

Specialties

emergency medicinecardiologygeneral medicine

Clinical conditions

pericarditisacute pulmonary edemacongestive heart failureatrial fibrillationchronic kidney diseaseFragile X Syndromedyspnea

Procedures

BIPAP (bilevel positive airway pressure) support

Contributing factors

  • Pre-existing atrial fibrillation
  • Chronic kidney disease
  • Congestive cardiac failure
  • Recent unwitnessed fall
  • Rapid respiratory deterioration
  • Health decline following previous hospital discharge
Full text

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