Finding into death of DA

42y · Male·Ischaemic heart disease due to severe triple-vessel coronary artery atherosclerosis

A 42-year-old man with known severe triple-vessel coronary artery disease died from acute ischaemic heart disease while working at height. He had refused recommended coronary artery bypass graft surgery in December 2008, citing fear of the procedure. Instead, he purchased unproven 'chelation therapy' (Angioprim) from an unregulated US internet supplier, despite having positive stress testing and angiographic confirmation of critical coronary stenosis. He continued physical work despite cardiology advice to restrict activity. His death occurred from natural cardiac causes, not from the fall, though he fell while acutely unwell. The case highlights dangers of unregulated online medical products and the importance of informed patient engagement with serious cardiac disease requiring timely surgical intervention.