Coronial
WAother

Inquest into the Death of Dragan JACOVIC

Deceased

Dragan JACOVIC

Demographics

63y, male

Coroner

Coroner Linton

Date of death

2018-06-22

Cause of death

ischaemic heart disease

AI-generated summary

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.

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

Specialties

cardiologypsychiatryemergency medicinecorrectional healthgeneral practice

Drugs involved

olanzapineantidepressantdual antiplatelet therapycardiac medicationsantidiabetic medication

Clinical conditions

ischaemic heart diseaseacute coronary syndromeheart failure with pulmonary oedemacardiogenic shocksevere ischaemic cardiomyopathyacute on chronic renal failuretype 2 diabetes mellitushypertensionchronic paranoid schizophreniacommunity-acquired pneumoniacentral sleep apnoeaventricular arrhythmia

Procedures

coronary artery bypass graftingcoronary angiographynon-invasive ventilationcardiopulmonary resuscitation

Contributing factors

  • end-stage heart failure with severe left ventricular dysfunction
  • extensive coronary artery atherosclerosis with blocked bypass grafts
  • multiple comorbidities: diabetes, hypertension, chronic kidney disease
  • smoking history
  • non-compliance with medical recommendations in preceding months
Full text

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