Coronial
WAhospital

Inquest into the Death of Francis Gerald ROBERTS

Deceased

Francis Gerald ROBERTS

Demographics

62y, male

Coroner

Deputy State Coroner Vicker

Date of death

2014-03-09

Finding date

2015-08-06

Cause of death

fatal cardiac arrhythmia secondary to end-stage ischaemic cardiomyopathy

AI-generated summary

A 62-year-old prisoner with severe ischaemic heart disease, diabetes, and cardiomyopathy died from a fatal cardiac arrhythmia in hospital. He had extensive cardiac history including pacemaker insertion, coronary stents, and bypass grafting. Throughout his 10-year imprisonment, he received numerous specialist consultations and hospital transfers but was frequently non-compliant with medical management, using refusal of treatment as a means of controlling his prison placement. His condition progressively deteriorated despite intensive medical intervention. The coroner found supervision, treatment and care while imprisoned to be reasonable and appropriate, though his poor compliance and resistance to medical advice complicated management. Death was from natural causes due to end-stage ischaemic cardiomyopathy with fatal ventricular arrhythmia.

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

Specialties

cardiologycardiothoracic surgeryemergency medicineintensive careendocrinologyrheumatologyophthalmologyrespiratory medicinegeriatric medicinecorrectional health

Drugs involved

furosemideglyceryl trinitrateantiarrhythmic agentsinsulinglyceryl trinitrate

Clinical conditions

ischaemic heart diseasecardiomyopathycongestive heart failureatrial fibrillationventricular fibrillationventricular tachycardiatype 2 diabetes mellitushypertensionhypercholesterolaemiaobesitypneumoniapleural effusiondiabetic retinopathycardiac arrhythmia

Procedures

pacemaker insertioncoronary angioplasty and stent insertioncoronary artery bypass graftingcardioversionimplantable cardioverter defibrillator insertionintubationangiography

Contributing factors

  • severe ischaemic heart disease with triple vessel disease
  • cardiomyopathy with significant left ventricular dysfunction
  • recurrent ventricular fibrillation and ventricular tachycardia
  • pacemaker/defibrillator inadequacy in controlling arrhythmias
  • congestive heart failure refractory to medical management
  • poor diabetic control
  • patient non-compliance with medical management
  • obesity
Full text

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