Coronial

122 results for severe coronary artery atherosclerosis

QLD2009-08-21

Oram, Ronald Thomas

49y · Male·Coronary artery occlusion due to, or as a consequence of, coronary artery athero…

Ronald Thomas Oram, a 49-year-old Aboriginal man, died in custody from natural causes—severe coronary artery atheroma with coronary artery occlusion. He presented to the prison nurse on 5 January 200…

emergency medicinecardiologydiagnosticsystemparacetamol
SAhospital2019-08-30

Coroner's Finding: SCHULZE Brian John

68y · Male·Ischaemic heart disease (operated); severe native coronary artery atheroma with …

…oid-related respiratory depression requiring naloxone administration. The coroner concluded his underlying severe cardiac disease was the primary cause of death, and that detention under the Mental Health Act was appropr…

cardiologypsychiatrymorphine
QLD2010-03-17

Barnes, Roy

47y · Male·Intracerebral haemorrhage secondary to heroin withdrawal in a patient with sever…

Roy Barnes, a 47-year-old man with chronic heroin use, hepatitis C, and severe coronary atherosclerosis, died from an intracerebral haemorrhage while in police custody. He was held in t…

emergency medicineneurologydelaysystemheroin
QLDcommunity2017-11-27

Finlayson, Eric Davis

68y · Male·drowning against a background of cardiomegaly and severe coronary artery calcifi…

…er 2012 while snorkelling at Michaelmas Cay on the Great Barrier Reef. He had undiagnosed cardiomegaly and severe coronary atherosclerosis. The coroner identified multiple missed opportunities in safety management by Voy…

emergency medicineoccupational and environmental healthsystemcommunication
VICaged care2016-06-07

Finding into death of Margaret Jane Gardiner

70y · Female·bronchopneumonia

…or prognosis. She was found deceased on 24 August 2014. The autopsy confirmed bronchopneumonia with focal coronary atherosclerosis and mild myocardial fibrosis. The coroner found that care provision appeared appropriatel…

psychiatrygeriatric medicinesertraline
QLD2009-11-26

Costelloe, Anthony Gayle

37y · Male·Posterior myocardial infarction consequent upon right coronary artery thrombosis…

…registered nurse assessed him for only 3 minutes, obtained minimal history, and failed to recognise acute coronary syndrome despite risk factors including Aboriginal status, gender, age, and likely family history of hear…

cardiologyemergency medicinediagnosticcommunication
NTcommunity2010-03-30

Inquest into the death of Michael Anthony Hardy and Robert James Roe

Unknown·Michael Anthony Hardy: acute asphyxiation sustained during dog pack attack. Robe…

… within weeks of each other. Michael Hardy, aged 27, died from asphyxiation during a dog pack attack while severely intoxicated. Robert Roe, aged 47, died from coronary atherosclerosis but his body was subsequently attac…

public healthoccupational and environmental healthsystemcommunicationalcohol
NSWhome2024-11-07

Inquest into the death of Elizabeth Britton

44y · Female·non-accidental blunt force head injury

…ral and parietal regions with linear skull fractures and subdural haemorrhage, consistent with moderate to severe trauma. A consultant neurosurgeon opined the injuries occurred within 1–3 hours of discovery and were most…

emergency medicineintensive carezopiclone
NSW2023-07-24

Inquest into the death of Barry Faulkner

70y · Male·ischaemic and valvular heart disease with chronic pulmonary disease being a sign…

Barry Faulkner, aged 70, died of ischaemic and valvular heart disease with chronic pulmonary disease while in lawful custody at Long Bay Correctional Complex on 25 January 2020. He suffered a sudden cardiac arrest while …

cardiologygeneral medicine
QLDcommunity2019-06-10

Coolwell, Shaun Charles

33y · Male·cardiorespiratory arrest during restraint, involving a predisposition to cardiac…

…one position; and poor inter-agency communication. The death resulted from multifactorial causes including severe coronary atherosclerosis, methamphetamine toxicity, restraint factors, and stress—not from midazolam alone…

emergency medicinepharmacologydiagnosticcommunicationmethamphetamine
VIChome2026-04-30

Finding into death of Nick Panagiotopoulos

47y · Male·Acute myocardial infarction due to thrombotic occlusion of the right coronary ar…

…His family made five calls to Triple Zero (000) requesting emergency ambulance assistance, but experienced severe delays of more than 16 minutes before the first call was answered by an ambulance call-taker. During this …

cardiologyemergency medicinesystemdelay
QLDhospital2008-10-03

McKenzie, Jillian Peta

47y · Female·Cardiac arrhythmia due to severe coronary artery atherosclerosis

…admission, despite chest pain being the presenting complaint. She died of cardiac arrhythmia secondary to coronary atherosclerosis that night. The coroner found the doctor failed to follow National Heart Foundation Guide…

emergency medicinecardiologydiagnosticcommunicationibuprofen
VIChospital2026-05-22

Finding into death of Stratos Ioannidis

45y · Male·focal coronary artery disease and cardiomegaly

Stratos Ioannidis, age 45, died at Maroondah Hospital on 28 March 2025 from focal coronary artery disease and cardiomegaly during an involuntary psychiatric admission. He presented with acute psyc…

psychiatryemergency medicinecommunicationsystemolanzapine
VICmental health

Finding into death of GM

52y · Male·Unascertained

…or was opened. His body was found weeks later with evidence of healing rib fractures, probable pneumonia, coronary atherosclerosis, and possible environmental exposure. Systemic failures included inconsistent application…

psychiatryemergency medicinesystemcommunicationpholcodine
VICcommunity2024

Finding into death of Mr XML

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

Mr XML, aged 60, died from mixed drug toxicity (methylamphetamine and deschloro-n-ethyl-ketamine) in the setting of significant cardiovascular disease. He collapsed after self-injecting an unknown substance while driving…

forensic medicinetoxicologymethamphetamine
QLDmental health2007-06-01

Huntington, Sparka Isarva aka Huntington, James Philip

31y · Male·Undetermined; most likely coronary atherosclerosis leading to arrhythmia, but as…

…ns (patient face-down in garden bed); and inadequate sedation protocols were applied. While autopsy showed severe coronary artery disease predisposing to fatal arrhythmia, asphyxia from restraint position and aspirated v…

psychiatryemergency medicinediagnosticmedicationzuclopenthixol
VIChome2026-03-04

Finding into death of Marko Kelentric

73y · Male·Effects of fire

… factors included: (1) both smoke alarms in the home had batteries removed, rendering them inoperable; (2) severe hoarding (clutter level 8) blocked egress and impeded firefighter access; (3) flammable liquids were store…

systemamitriptyline
WAcustody2014-03-20

Inquest into the Death of Anthony Nigel AXTELL

38y · Male·Heart failure in a man with dilated cardiomyopathy and focal severe coronary art…

Anthony Axtell, a 38-year-old man with severe dilated cardiomyopathy from amphetamine use, died of heart failure while in prison custody. Initially trea…

cardiologycardiothoracic surgerymedicationsystemamphetamine
QLDhospital2012-08-13

Krog, Shane Paul

55y · Male·Morphine toxicity, with contributing factors of ischemic heart disease, coronary…

Shane Paul Krog, a 55-year-old man, died from morphine toxicity complicated by ischemic heart disease, coronary atherosclerosis and rhabdomyolysis. He presented to Murgon Hospital (a 15-bed rural facility) following s…

emergency medicinegeneral practicediagnosticdelaymorphine
TAS2021-11-26

Coroner's Finding: Roberts Henry Arthur

87y · Male·Blunt trauma of the head and chest

…ng overrun by his tractor on 16 March 2020. He had multiple serious health conditions including leukaemia, severe vision impairment from macular degeneration, near-total deafness, and previous cognitive impairment. His o…

ophthalmologygeneral practice

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