Finding into death of Michael Phu Tran

30y · Male·Ischaemic heart disease and coronary artery atherosclerosis

A 30-year-old male prisoner died of ischaemic heart disease with coronary artery atherosclerosis. He had a history of cannabis and methamphetamine use, anxiety, and asthma. While in custody, he was prescribed methadone, olanzapine, mirtazapine, and inhalers but frequently missed doses or took himself off medication. Days before death, he reported headaches, flu-like symptoms, and difficulty breathing to a fellow prisoner but did not attend medical review. He was found unresponsive in his cell with no signs of external trauma. The coroner accepted that chronic healthcare monitoring could have been closer but concluded this did not directly contribute to death. The death was from natural causes with no preventable elements identified.