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NSW2015-07-09

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 EC…

cardiologyemergency medicinemethadone
QLDhospital2015-07-03

Apelu, Faaee - Non-inquest findings

41y · Male·Myocardial infarction secondary to coronary atherosclerosis, resulting in sudden…

A 41-year-old man with multiple cardiac risk factors (hypertension, hyperlipidemia, obesity, obstructive sleep apnoea, family history) presented with chest pain and was diagnosed with acute coronary syndrome. Coronary an…

cardiologygeneral practicediagnosticmedicationaspirin
QLDhome2015-06-30

Beckman, Seth David - Non-inquest findings

34y · Male·Drowning due to shallow water blackout

A 34-year-old man died from drowning in a residential swimming pool while practicing breath-holding with hyperventilation, a technique he had used since childhood for spearfishing competitions. The coroner concluded deat…

forensic medicineemergency medicinecommunicationsystem
TAScommunity2015-06-30

Coroner's Finding: Stephenson, Jason Scott

40y · Male·drowning whilst engaged in scuba diving

Jason Stephenson, a 40-year-old male with obesity, hypertension, and undiagnosed coronary artery stenosis, drowned while scuba diving at Picnic Beach, Tasmania. He demonstrated signs of physical overexertion during the w…

diving medicinehyperbaric medicine
VIChospital2015-04-23

Finding into death of Craig Ronald McMillan

37y · Male·Unascertained (death in custody)

Craig McMillan, 37-year-old male with chronic schizophrenia, died of undetermined cause (death in custody) after being transported by police divisional van to hospital. Despite documented tachycardia from Risperidone, th…

psychiatryemergency medicinecommunicationsystemrisperidone
TAShospital2015-04-22

Coroner's Finding: Rogers, Maureen Ann

71y · Female·cardiac tamponade due to ascending aortic dissection

A 71-year-old woman presented to the ED with sudden-onset epigastric pain requiring morphine. Despite clinical features concerning for acute aortic dissection (severe stabbing chest pain radiating to back, relieved by le…

emergency medicineradiologydiagnosticcommunicationmorphine
NTprison2015-04-13

Inquest into the death of Raymond McDonald

49y · Male·cardiac hypertrophy (longstanding heart disease) complicated by chronic renal fa…

Raymond McDonald, 49 years old, died in custody at Darwin Correctional Centre from cardiac hypertrophy with underlying chronic renal failure and ventricular arrhythmia. He had presented 16 times with chest pain over 12 m…

cardiologygeneral practicediagnosticdelay
QLDhospital2015-03-30

Mulhall, Terrance - Non-inquest findings

48y · Male·myocardial infarction due to ischaemic heart disease due to hypertension

A 48-year-old man died from myocardial infarction due to ischaemic heart disease and hypertension shortly after undergoing urology surgery. Critical failures in clinical communication prevented recognition of undiagnosed…

anaesthesiaurologycommunicationdiagnostictelmisartan
QLDcommunity2015-03-11

Kumar, Amit

34y · Male·The combined effects of restraint, coronary artery atherosclerosis and centripet…

A 34-year-old man died following 10 minutes of restraint by six people at a marina car park after assaulting two staff members. He had significant coronary atherosclerosis (70-75% narrowing) and centripetal obesity. Desp…

forensic medicineemergency medicineproceduralcommunicationmethadone
NSWcommunity2015-03-06

Inquest into the death of Andrew HABIB

20y · Male·hypertrophic cardiomyopathy shortly after participating in a martial arts traini…

Andrew Habib, aged 20, died from hypertrophic cardiomyopathy (a genetic heart condition causing left ventricular hypertrophy) during martial arts training at a gym despite having been advised to avoid strenuous exercise.…

cardiologyforensic medicinesystemdelayverapamil
WAhospital2015-02-13

Inquest into the Death of Christopher Ling TAO

2y · Male·Myocarditis secondary to Kawasaki Disease

Christopher Tao, aged 2 years 9 months, presented to Princess Margaret Hospital ED with a 5-day fever, cervical lymphadenopathy, rash, conjunctivitis, and other features diagnostic of Kawasaki Disease (KD) on 7 September…

emergency medicinepaediatricsdiagnosticcommunicationparacetamol
QLDcommunity2015-02-11

Dennis, Jerry Arthur - Non-inquest findings

17y · Male·drowning due to or as a consequence of cardiomegaly

A 17-year-old male member of a surf life saving club died by drowning during a flat-water paddle board training session in a canal. He reported feeling unwell and attempted to paddle back, but fell from his board and bec…

pathologycardiology
WAPodcast2015-02-09

Inquest into the Death of Myosotis Julianna MORIARTY

68y · Female·acute gastrointestinal haemorrhage secondary to bilateral dental extraction

A 68-year-old woman on long-term warfarin therapy for a prosthetic aortic valve died from acute gastrointestinal haemorrhage following dental extraction. The dentist failed to obtain an INR test within 24 hours of the pr…

dentistrygeneral practicediagnosticcommunicationwarfarin
VIChome2015-02-03

Finding into death of Alan Victor Webster

81y · Male·Intracerebral haemorrhage in the setting of heparinisation for subclavian artery…

81-year-old Alan Webster with atrial fibrillation on long-term Warfarin underwent colonoscopy in August 2011. His anticoagulation was interrupted and bridging Clexane prescribed. Post-operatively, critically sub-optimal …

cardiologyemergency medicinecommunicationsystemwarfarin
WAhospital2015-01-15

Inquest into the Death of Petra ZELE

28y · Female·hypoxic brain injury following cardiac arrest in association with pulmonary hype…

Petra Zele, a 28-year-old woman, died from hypoxic brain injury following cardiac arrest due to acute pulmonary embolism superimposed on chronic thromboembolic pulmonary hypertension. She presented to Fremantle Hospital …

emergency medicinecardiologydiagnosticcommunicationyasmin
VIC2014-12-18

Finding into death of Neyko Dinkov

54y · Male·Ischaemic heart disease

A 54-year-old male prisoner died from ischaemic heart disease with acute myocardial infarction whilst playing football in the prison yard. He had disclosed no significant medical history on admission. He collapsed and de…

forensic medicineemergency medicine
QLD2014-12-17

Horace, Reynold David

51y · Male·Coronary atherosclerosis

A 51-year-old Aboriginal man with a 26-year prison history died from coronary atherosclerosis while incarcerated. He had extensive cardiac disease documented since 1996, with multiple heart attacks in 2011-2012, yet rema…

cardiologypsychiatry
QLDhospital2014-12-17

Courtney, Victor

44y · Male·End stage non-small cell lung carcinoma

Victor Courtney, aged 44, died from end-stage non-small cell lung carcinoma with hepatic metastases while incarcerated at Wolston Correctional Centre. He was diagnosed with lung cancer in November 2012 after presenting w…

oncologyrespiratory medicine
NTcommunity2014-11-03

Inquest into the death of Francis Gaykamangu

27y · Male·Coronary atherosclerosis with 80% blockage of the left anterior descending coron…

A 27-year-old Aboriginal man collapsed and died from coronary atherosclerosis (80% blockage of the left anterior descending artery) approximately 45 minutes after presenting to a remote clinic with post-exercise dyspnoea…

emergency medicinecardiologydiagnostic
NTcommunity2014-11-03

Inquest into the death of Dion Daniels

24y · Male·Coronary artery thrombosis secondary to coronary atherosclerosis

A 24-year-old Aboriginal man collapsed during football in extreme heat and presented to a rural clinic with dizziness, chest pain, shortness of breath and sweating. The nurse diagnosed dehydration and administered IV flu…

cardiologyemergency medicinediagnosticcommunication
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