Inquest into the death of Victor John Russell

48y · Male·Ischaemic Heart Disease

Victor John Russell, aged 48, died in prison of ischaemic heart disease (90-95% left anterior descending coronary artery narrowing). He had family history of early cardiac disease, prior borderline QTc prolongation on ECG, asthma, schizophrenia, and poly-substance abuse history. He reported nocturnal symptoms (gagging, vomiting, gasping for breath) to a friend but was reluctant to seek medical help. He was found unresponsive in his cell during morning muster. CPR was commenced promptly by trained officers with acting superintendent supervision. The coroner found resuscitation was adequate and the initial ineffective resuscitation mask (replaced with handkerchief) did not contribute to his death. This case illustrates the importance of prisoners reporting concerning symptoms and healthcare systems ensuring cardiac risk assessment in those with family history and borderline ECG findings.