Dragan Jacovic, a 63-year-old life prisoner with extensive comorbidities including severe ischaemic heart disease, type 2 diabetes, chronic kidney disease, and chronic paranoid schizophrenia, was admitted to hospital on 12 June 2018 with acute coronary syndrome and pulmonary oedema. Investigations revealed end-stage heart failure with extensive coronary artery disease unsuitable for revascularisation. He was discharged to prison medical ward on 21 June 2018 on medical management with outpatient cardiology follow-up. He died suddenly the following day from cardiac arrest secondary to ischaemic heart disease. Expert cardiology review confirmed discharge was appropriate and medically reasonable; even with ICU-level intervention, survival probability was less than 20%. No failures in medical care, supervision, or monitoring were identified. Care standards met or exceeded community standards.
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cardiologypsychiatryemergency medicinecorrectional healthgeneral practice
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