Coronial

58 results for atherosclerotic coronary artery disease

TAShome2018-05-07

Coroner's Finding: Miller, Melinda Shirley

58y · Female·cardiac arrhythmia caused by a combination of pre-existing myocarditis and the a…

…ropriate cardiometabolic monitoring while on clozapine. Autopsy revealed pre-existing myocarditis and atherosclerotic coronary artery disease. The coroner concluded the most likely cause of death was cardiac arrhythmia …

psychiatrygeneral practiceclozapine
NSWhome2024-08-09

Inquest into the death of Linus Phillips

65y · Male·Cardiac arrhythmia, probably Torsades de Pointes, due to the combined effects of…

Linus Phillips, age 65, died at home in October 2014 from cardiac arrhythmia (Torsades de Pointes) precipitated by methadone prescribed with inadequate oversight. Mr Phillips had chronic pain from knee surgery, severe sl…

general practiceaddiction medicinediagnosticmedicationmethadone
NSWhospital2015-12-02

Inquest into the death of Dr Peter Domachuk

33y · Male·presumed fatal cardiac arrhythmia in the presence of coronary artery atheroscler…

…n), hyponatraemia (129 mmol/L), elevated lactate, and renal impairment—findings consistent with Addison's disease. A registrar ordered a cortisol test, but this was not documented in progress notes or handover. The pati…

emergency medicinegeneral medicinecommunicationsystemdiclofenac
TAShospital2019-03-01

Coroner's Finding: Novaski, John James

76y · Male·advanced atherosclerotic and hypertensive cardiovascular disease

…vious high-risk cardiac status and recent interventions. Patient died at home the next morning from acute coronary syndrome. Coroner identified multiple failures: delayed triage, unsupervised student assessment, failure …

emergency medicinecardiologydiagnosticcommunication
NT2024-06-12

Inquest into the death of Mr Dooley

37y · Male·Complications due to atherosclerotic heart disease and dyslipidaemia

Glen Dooley, a 37-year-old Aboriginal man, died of atherosclerotic heart disease and dyslipidaemia while in custody at Darwin Correctional Centre. His death was avoidab…

cardiologygeneral practicediagnosticcommunicationatorvastatin
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 extraordin…

emergency medicinecardiologydiagnosticcommunicationcaffeine
WAcommunity2019-06-26

Inquest into the Death of Frederick John COLLARD

35y · Male·atherosclerotic heart disease with methylamphetamine effect in a man under physi…

A 35-year-old male with severe pre-existing ischaemic heart disease and recent cardiac arrest (April 2016) presented with increasingly erratic and paranoid behaviour after m…

cardiologyemergency medicinemethamphetamine
TAShospital2021-08-20

Coroner's Finding: LA

67y · Male·acute gastrointestinal haemorrhage complicating peptic ulcer of the duodenum wit…

A 67-year-old man died from acute gastrointestinal haemorrhage from a duodenal ulcer following complex post-operative complications from laparoscopic Hartmann's procedure for diverticulitis. Key clinical lessons: (1) Ear…

general surgeryintensive carediagnosticmedicationrabeprazole
VICcommunity2024

Finding into death of Mr XML

60y · Male·Mixed drug (methylamphetamine, deschloro-n-ethyl-ketamine) toxicity in a man wit…

… toxicity (methylamphetamine and deschloro-n-ethyl-ketamine) in the setting of significant cardiovascular disease. He collapsed after self-injecting an unknown substance while driving in rural Victoria. The coroner foun…

forensic medicinetoxicologymethamphetamine
TAShospital2022-01-28

Coroner's Finding: Mitchell, Gordon Arthur David

54y · Male·acute myocardial infarction

Gordon Arthur David Mitchell, 54 years old, died of acute myocardial infarction five days after successful stenting for an initial MI. He was discharged on 10 July 2019 despite presenting with chest pain, dyspnea, and co…

cardiologyemergency medicinediagnosticclinical decisionbeta-blocker
WAhospital2014-08-29

Inquest into the Death of Daniel LAHENGKING

66y · Male·multiple organ failure associated with the combined effects of complications of …

… Although the immediate methotrexate toxicity resolved, subsequent complications including vasculitis and coronary artery disease led to his death. Clinical lessons include: always obtain baseline blood tests before meth…

general practicepharmacydiagnosticmedicationmethotrexate
NSWhospital2020-11-20

Inquest into the death of Melissa Stokes

49y · Female·Fatal Cardiac Arrhythmia

Melissa Stokes, 49, died from a fatal cardiac arrhythmia one day after successful abdominal hysterectomy and sling surgery. The coroner found the cause was not opioid-induced respiratory depression despite post-operative…

anaesthesiagynaecologycommunicationdelaytramadol
TAShospital2021-04-12

Coroner's Finding: Fowler, Alice Mary

91y · Female·Pelvic haematoma complicating a fracture of the neck of the left femur

Mrs Fowler, a 91-year-old woman with dementia, poor hearing, and documented high fall risk, was admitted to Royal Hobart Hospital after a home fall. She fell from her hospital bed on 4 December 2015, fracturing her hip a…

geriatric medicineorthopaedic surgerysystemdelay
VIChospital2020-01-31

Finding into death of Brett Maybus

60y · Male·Haemorrhage complicating a left robotic upper mediastinal lymph node clearance i…

Brett Maybus, aged 60, died from massive haemorrhage following robotic mediastinal lymph node dissection for recurrent metastatic squamous cell carcinoma. The coroner found the fatal bleed was likely caused by rupture of…

cardiothoracic surgeryoncologycommunicationsystem
WAhospital2013-11-12

Inquest into the Death of Ford, Valma May Ruth

77y · Female·Complications following a recent fracture and surgical repair of the right hip i…

A 77-year-old woman with complex comorbidities (atrial fibrillation, aortic stenosis, chronic renal impairment, emphysema) on Warfarin sustained a femur fracture and underwent ORIF on day 3 of admission (19 Nov 2009). Ke…

orthopaedic surgeryemergency medicinediagnosticsystemwarfarin
NSWaged care2012-05-11

Inquest into the deaths of Shaneen BATTS, Ilona TAKACS, Dorothy HUDSON, Ian BIRKS, Donald MacKELLAR and Mohammed RAMZAN

Unknown·Multiple: Olanzapine toxicity, pulmonary thromboembolism, asphyxiation on food, …

…schizophrenia on multiple antipsychotic medications and severe, untreated physical comorbidities (cardiac disease, COPD, obesity). The coroner found preventable clinical failures: (1) antipsychotic polypharmacy without …

psychiatrygeneral practicediagnosticmedicationolanzapine
WA2022-06-17

Inquest into the 4 Deaths at Mount Augustus

heat stroke (environmental exposure) / hyperthermia; Mr Buske: atherosclerotic h…

Four deaths occurred on Mount Augustus summit trail in 2019-2020 during hot weather conditions. All deceased experienced heat stroke with dehydration as the primary mechanism of death. The coroner identified inadequate p…

emergency medicineforensic medicinesystemcommunication
TAScommunity2016-05-25

Coroner's Finding: Barnes, Deearne Joan

53y · Female·mixed prescription drug toxicity

Deearne Joan Barnes, a 53-year-old woman with complex psychiatric history including depression, OCD, substance abuse disorder, and chronic non-cancer pain, died from mixed prescription drug toxicity involving venlafaxine…

psychiatrypain medicinediagnosticmedicationvenlafaxine

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