Coronial
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223 results for acute myocardial infarction

SA2006-11-16

Coroner's Finding: HARKIN Leonard Norman

51y · Male·ischaemic heart disease

A 51-year-old prisoner died from ischaemic heart disease after suffering a cardiac event while being transferred between prison units. He had complained of chest pain to correctional officers, was directed to walk to the…

cardiologyemergency medicineproceduraldelaymirtazapine
TAShospital2018-08-17

Coroner's Finding: Bruinger, Stephen Guy

62y · Male·cerebral haemorrhage (intracerebral bleed, large lobar within left cerebral hemi…

…en initial investigations contradict clinical presentation, and ensure adequate monitoring capacity during acute presentations with evolving vital sign abnormalities.

emergency medicinecardiologydiagnosticsystemticagrelor
VIC2014-03-06

Finding into death of Geoffrey Ashton

78y · Male·Ischemic heart disease

…17 December 2011. Stress from an altercation over disabled parking at a nearby church likely triggered his acute cardiac event. He collapsed twice in the police station foyer; his second collapse occurred while in ventr…

cardiologypathologydelayprocedural
VICcommunity2015-08-21

Finding into death of Mohamed Hamza

40y · Male·coronary artery atherosclerosis

…ing emergency assessment regardless of examination findings; absence of pain and normal ECG do not exclude acute coronary syndromes; all chest pain matching Heart Foundation criteria requires urgent emergency referral.

general practicecardiologydiagnosticcommunicationatorvastatin
VIChospital2011-07-29

Finding into death of Marlene Kenny

64y · Female·Bilateral pulmonary embolism with left middle cerebral artery/posterior cerebral…

…es about clinical urgency, ineffective bed coordination, and adverse weather. She deteriorated, suffered myocardial infarction, and died from bilateral pulmonary embolism complicated by stroke. Key failures: initial hypo…

emergency medicinegeneral practicediagnosticcommunicationdiazepam
QLDhospital2012-09-28

Harold, Rex

59y · Male·disseminated carcinoma due to right lung carcinoma

Rex Harold, a 59-year-old Aboriginal man with schizophrenia, alcohol-induced brain injury, chronic obstructive airways disease, and diabetes, died in custody from disseminated small cell lung carcinoma. He was transferre…

general medicinecardiologydiagnostic
WAhospital2019-07-22

Inquest into the Death of Arthur James BONNEY

59y · Male·ischaemic heart disease in the context of acute-on-chronic kidney failure associ…

…hour follow-up creatinine testing) were not performed. The scan precipitated contrast-induced nephropathy, acute kidney failure, and likely contributed to fatal cardiogenic shock. The coroner found that contemporary poi…

radiologycardiologydiagnosticproceduraliodinated contrast medium
WAprison2020-11-04

Inquest into the Death of Damien PURNELL

47y · Male·organ failure following cardiorespiratory impairment in a man with arteriosclero…

Damien Matthew Purnell, a 47-year-old prisoner with a long history of polysubstance abuse and undiagnosed coronary artery disease, collapsed in his cell after smoking synthetic cannabinoids (Kronic). Despite immediate re…

emergency medicineintensive caresystemmethadone
VIChospital2023-02-28

Finding into death of Mrs K

81y · Female·Cardiac tamponade secondary to dissection of ascending aorta

…udden-onset central chest pain radiating to the jaw. Despite appropriate initial assessment and ruling out acute coronary syndrome via troponin and ECG, she was discharged with undiagnosed chest pain after a 'chest pain…

emergency medicinecardiologydiagnosticdelayaspirin
NSWhospital2018-11-09

Inquest into the death of Alexander Costello

37y · Male·Haemopericardium secondary to aortic dissection

Alexander Costello, 37, presented to Gunnedah Hospital ED with acute onset severe chest pain, back pain, diaphoresis and nausea. Dr G., the sole ED physician, conducted initia…

emergency medicinegeneral practicediagnosticcommunicationmorphine
VICaged care2025-05-22

Finding into death of Veronica Lesley Roberts

75y · Female·Ischaemic heart disease in the setting of unstable type 2 diabetes mellitus and …

Veronica Roberts, 75, died from ischaemic heart disease complicated by unstable diabetes and a medication error. On 4 October 2020, her insulin dose was increased to 20 units daily, but due to Electronic Medical Record (…

geriatric medicinegeneral medicinemedicationsystemglargine insulin
VIChospital2013-01-31

Finding into death of Salvatore Accardo

47y · Male·pericardial tamponade secondary to ruptured dissecting thoracic aortic aneurysm …

Salvatore Accardo, a 47-year-old with previously diagnosed Marfan syndrome, died from pericardial tamponade secondary to ruptured dissecting thoracic aortic aneurysm. He presented to Austin Hospital ED on 22 February 200…

emergency medicinecardiologydiagnosticcommunicationatenolol
VIChospital2014-06-05

Finding into death of Constandia Petzierides

74y · Female·haemothorax secondary to dissecting thoracic aorta

… was assessed by an emergency medicine registrar with 10 weeks' experience (Dr S.), who worked through a myocardial infarction pathway and discharged her with musculoskeletal pain diagnosis after normal troponins. She wa…

emergency medicinecardiologydiagnosticcommunicationwarfarin
SAhospital2010-02-04

Coroner's Finding: KRIVITCH Olga

81y · Female·hypovolaemic shock following bleeding from the site of a femoral angiogram

Olga Krivitch, 81-year-old woman, died from hypovolaemic shock caused by bleeding from her femoral angiogram puncture site. She was admitted for ischaemic leg and underwent unsuccessful thrombolytic therapy. Subsequently…

vascular surgeryradiologydiagnosticmedicationheparin
VICaged care2014-03-31

Finding into death of Margaret Lurline Martyr-Paterson

87y · Female·Multiple injuries with ischaemic heart disease, antecedent cause being recent fa…

87-year-old Margaret Martyr-Paterson, a low-care resident with dementia and ischaemic heart disease at Shoreham House aged care facility, fell from her bedroom window on 17 February 2010 and died 11 days later from multi…

geriatric medicinegeneral practicecommunicationsystem
VIChospital2019-05-10

Finding into death of Simon Smith

22y · Male·acute blood loss from incised injuries to left forearm

Simon Smith, a 22-year-old with end-stage renal failure requiring dialysis and complex comorbidities, died by suicide during hospitalization. Despite multiple psychiatric assessments finding he had capacity to make treat…

psychiatrynephrologycommunicationsystemtemazepam
SAhospital2011-06-22

Coroner's Finding: TRENGROVE Ian

81y · Male·Retropubic and retroperitoneal haemorrhage complicating pelvic fractures with co…

An 81-year-old man died from retropubic and retroperitoneal haemorrhage complicating pelvic fractures sustained in a fall at church. He was on warfarin for atrial fibrillation with an excessive INR of 4.6 at the time of …

emergency medicinegeneral medicinediagnosticcommunicationwarfarin
QLD2015-11-04

Spence, John Michael

51y · Male·Combined effects of atherosclerotic cardiovascular disease and seizure activity …

John Spence, a 51-year-old man with a history of seizures, alcoholism, and severe coronary artery disease, died in a prison health centre following a seizure episode. He had ingested an extraordinarily high level of caff…

emergency medicinecardiologydiagnosticcommunicationcaffeine
QLD2019-12-05

Harrison, Steven Leslie

61y · Male·Coronary atherosclerosis

Steven Harrison, aged 61, died of sudden coronary atherosclerosis while incarcerated at Wolston Correctional Centre. He had multiple cardiovascular risk factors including Type 2 diabetes, heavy smoking history, and intra…

cardiologygeneral practicediagnosticsystemmetformin
VIChospital2024-07-29

Finding into death of Shane Anthony Pappas

54y · Male·quetiapine toxicity in a man with ischaemic heart disease

Shane Pappas, a 54-year-old man with ischaemic heart disease, died from quetiapine toxicity after deliberately overdosing on multiple medications on 29 June 2021. He had experienced a recent relationship breakdown and pr…

psychiatryemergency medicinediagnosticcommunicationquetiapine

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