83y · Female·decompensated right heart failure (cor pulmonale) immediately following mitral v…
…he GP's management was reasonable—he was anchored to a diagnosis of recurrent chest infections/pneumonia, cardiac examination was not routinely indicated, and time pressures were significant. Observational data suggests…
91y · Male·Severe heart failure secondary to ischaemic cardiomyopathy
Ernest Robert Tester, a 91-year-old man with ischaemic cardiomyopathy and severe heart failure, died in an aged care facility. He experienced chest tightness and difficulty breathing at 2am, treated appropriately by nurs…
64y · Male·Heart failure secondary to alcohol related liver disease, coronary obstructive p…
… appropriately placed and confirmed by psychiatry. On 22 September, after acute deterioration with severe cardiac dysfunction (EF 15-20%), senior clinicians determined CPR would be non-beneficial, prolonging life in a m…
39y · Female·multiorgan failure and probable sepsis
…ade, treated surgically by drainage. Despite initial haemodynamic improvement, she developed multiorgan dysfunction including acute kidney injury, liver failure, and pneumonia with ongoing seizures. After discussion wit…
43y · Female·Complications of morbid obesity, including progressive respiratory and cardiac f…
…le Abbott, 43, died from complications of morbid obesity (BMI 54.4) including progressive respiratory and cardiac failure, exacerbated by smoking and obstructive sleep apnoea. She was subject to a Psychiatric Treatment …
75y · Male·pneumonia and head injury from fall
…fractures, developed aspiration pneumonia, and died on 9 May 2020. The fall's cause (hyponatraemia versus cardiac syncope) could not be definitively determined. Clinical lessons include: recognising that hyponatraemia c…
31y · Female·raised intracranial pressure due to ventriculoperitoneal shunt dysfunction (disc…
…ng was never reviewed by an experienced neurosurgeon. Her mother repeatedly raised concerns about shunt dysfunction that were not adequately heeded. Proper interpretation of x-rays by neurosurgery, or admission under ne…
70y · Male·Acute myocardial infarction in association with coronary artery atherosclerosis
…adequate clinically, formal care plan documentation would have better ensured systematic follow-up of his cardiac status, lipid management, and medication compliance after psychiatric medications were ceased.
64y · Male·Complications of congestive cardiac failure on a background of cardiac hypertrop…
…espite appropriate clinical responses including MET calls and investigations. Autopsy revealed congestive cardiac failure with cardiac hypertrophy as the primary cause. The Coroners Prevention Unit noted his initial pre…
77y · Female·myocardial infarction
…nal fixation at Royal Adelaide Hospital, her general condition deteriorated significantly. She suffered a cardiac arrest on 3 March 2000 and was diagnosed with anterior myocardial infarction. Management focused on comfo…
67y · Male·Acute myocardial infarction
…taff provided initial assistance; an ambulance was called at 11:24pm after a 14-minute delay. He suffered cardiac arrest, was resuscitated by paramedics, but remained comatose with significant hypoxic damage. He died at…
68y · Male·exacerbation of congestive cardiac failure and aspiration pneumonia on a backgro…
Richard Alan Jones, a 68-year-old man with cerebral palsy, intellectual disability, epilepsy, and cardiac disease, presented to Austin Hospital in respiratory failure from congestive cardiac failure exacerbation…
50y · Male·Multi-organ failure caused by low flow ischaemia of coeliac artery and superior …
…signs of organ hypoperfusion were difficult to recognise in the context of expected severe post-operative cardiac dysfunction. The coroner found no adverse findings against the treating team, as the procedure followed a…
24y · Female·Cardiac conducting system disease leading to asystole against a background of a …
A 24-year-old woman with complex congenital cardiac disease, cerebral palsy, and hydrocephalus was admitted to a secondary hospital with a respiratory tract …
0y · Female·Right ventricular failure secondary to pulmonary atresia with ventricular septal…
…res and required immediate intensive support. Despite appropriate multidisciplinary care including serial cardiac imaging, medical management, and 15 cardiac surgical procedures, she developed progressive complications …
34y · Male·cardiorespiratory arrest during struggle and restraint in a man with methylamphe…
…ess. The coroner found restraint did not cause asphyxiation and force was reasonable. Death resulted from cardiac arrhythmia triggered by extreme physical exertion during struggle combined with methylamphetamine's cardi…
60y · Female·ischaemic heart disease
…jor coronary artery with mild left ventricular scarring and chronic liver congestion, indicating previous cardiac damage. While the pathologist initially recorded the cause as unascertained due to the relatively mild co…
41y · Female·Cardiomegaly
…aphic changes including dilated left ventricle and moderate aortic regurgitation. Autopsy revealed severe cardiac disease with myocardial fibrosis and a functionally bicuspid aortic valve from fusion and calcification. …
51y · Male·unascertained; presumed sudden cardiac arrhythmia
…calation to ambulance services, he suffered multiple seizures en route to hospital and died from presumed cardiac arrhythmia. The coroner found mental health management was of high standard with appropriate frequent rev…
0y · Female·Septic shock with multi-organ failure and probable meningitis, secondary to non-…
…an failure and probable meningitis. She presented to Royal Children's Hospital on 27 July 2016 with acute cardiac decompensation and was managed in ICU. A forensic paediatric assessment confirmed the cardiomyopathy was …
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