Finding into death of Prisoner A

55y · Male·Ischaemic heart disease in a man with multiple system atrophy (Parkinsonian type)

A 55-year-old man with ischaemic heart disease and multiple system atrophy (MSA) died suddenly in custody from natural causes. He presented with tremors and collapse in 2017, and was appropriately diagnosed with MSA Parkinsonian type by 2018. MSA is a rare, incurable neurodegenerative condition with no specific treatment; antiparkinsonian medications were appropriately trialled for symptom relief. The coroner found his death could not have been prevented, that his diagnosis and treatment were reasonable and appropriate, and that the custodial medical care provided was adequate. Death resulted from ischaemic heart disease without preceding warning symptoms. No errors or system failures were identified.