Coronial

267 results for severe heart failure

NSWmental health2022-05-06

Inquest into the death of Diane EASTCOTT

71y · Female·ischaemic cardiovascular disease

…were prescribed concurrently without clinical indication—a contraindicated combination potentially causing severe heart block. A pharmacist flagged this in a comment but no action was taken. The error was not identified …

emergency medicinecardiologymedicationcommunicationmetoprolol
SAhospital2006-12-14

Coroner's Finding: PETTER Elemer

79y · Male·myocardial infarction

A 79-year-old man with significant comorbidities (ischaemic heart disease, diabetes, peripheral vascular disease) was admitted to hospital with anorexia and weight loss. He…

cardiologypsychiatrycommunicationhaloperidol
SAcommunity2025-10-20

Coroner's Finding: Kennedy, John Douglas

65y · Male·Ischaemic heart disease on a background of hypertension

John Kennedy, 65, died from ischaemic heart disease with hypertension on 16 April 2020 after a 24-minute delay in ambulance dispatch. He called triple…

emergency medicinecardiologycommunicationsystematenolol
VIChospital2020-05-05

Finding into death of John Hayle

76y · Male·Bronchopneumonia in a man with ischaemic heart disease and treated spinal crush …

John Hayle, a 76-year-old with Alzheimer's dementia, ischaemic heart disease, and spinal fractures sustained a T11/12 flexion-distraction fracture on 9 June 2017. Over three w…

neurosurgerygeriatric medicinediagnosticcommunicationmk8931
NSW2024-06-20

Inquest into the death of Michael Baker

44y · Male·Cardiac arrhythmia on a background of hypertensive heart disorder, obesity, diab…

…ectional Centre, died from cardiac arrhythmia on 25 June 2019. He had multiple comorbidities (hypertensive heart disease, obesity, type 2 diabetes, undiagnosed obstructive sleep apnoea) and was prescribed multiple QT-pr…

general practicepsychiatrydiagnosticcommunicationmethadone
QLDhospital2017-12-04

Mr AC - Non-inquest findings

76y · Male·Coronary atherosclerosis in the context of obesity, obstructive sleep apnoea, an…

A 76-year-old man with significant comorbidities including severe obstructive sleep apnoea, obesity, aortic stenosis, and ischaemic heart disease died from acute coronary a…

neurosurgeryanaesthesiadiagnosticcommunicationamiodarone
QLDhospital2017-09-20

Mr TAM - Non-inquest findings

62y · Male·Multi-organ infarctions (brain, kidneys, heart) resulting from thromboemboli sec…

Mr TAM, a 62-year-old man with multiple cardiac conditions, died from multi-organ infarction secondary to an atrio-oesophageal fistula that developed after radio-frequency ablation for atrial fibrillation. The fistula is…

cardiologycardiothoracic surgerycommunicationsystem
VIChospital2018-06-14

Finding into death of Ian John Gilbert

77y · Male·Complications of methotrexate toxicity in a man with chronic renal impairment, c…

A 77-year-old man with chronic kidney disease, COPD, and mild cardiac failure died from methotrexate toxicity after a GP prescribed it at an inappropriate daily dose (5mg daily) for p…

general practicepharmacydiagnosticmedicationmethotrexate
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…

…diabetes, underwent a CT scan with iodinated contrast on 30 July 2015 at Fiona Stanley Hospital. Critical failures occurred: his kidney function (eGFR) was not checked on the day of the scan despite being last measured …

radiologycardiologydiagnosticproceduraliodinated contrast medium
WAmental health2024-07-19

Inquest into the Death of Phillip Benjamin VELTMAN

49y · Male·Unascertained - cardiac arrhythmia with terminal aspiration in an overweight man…

…tion discrepancies exist between documents, clarify with source hospital; (3) recognize that patients with severe psychosis, obesity, sleep apnea, and cardiac disease face inherent sudden death risk; (4) implement monito…

psychiatryemergency medicinecommunicationsystemketamine
NT2015-08-14

Inquest into the death of Perry Langdon

59y · Male·idiopathic dilated cardiomyopathy (probably alcohol related)

…police watch house following arrest for the minor offence of drinking in a designated public place. He had severe, documented cardiac disease (cardiomegaly, heart failure) and had been hospitalized twice for cardiac-rela…

emergency medicinecardiologysystemcommunication
WA2025-03-18

Inquest into the Death of Lex Gregory MAHER

45y · Male·atherosclerotic heart disease

…egory Maher, a 45-year-old Aboriginal man imprisoned at Greenough Regional Prison, died of atherosclerotic heart disease while playing basketball. He had abnormal ECGs detected in March and May 2022 and was appropriatel…

cardiologycorrectional healthsystemcommunicationatorvastatin
SAhospital2020-06-25

Coroner's Finding: KARTINYERI Laura Rose

44y · Female·multi-organ failure and polypharmaceutical overdose on a background of severe ch…

Laura Rose Kartinyeri, aged 44, died from multi-organ failure and polypharmaceutical overdose on a background of severe COPD. She had a long history of substance abuse…

respiratory medicineintensive carepregabalin
NSWhospital2015-11-16

Inquest into the death of Ivy Dwyer

18y · Female·Severe cardiogenic shock caused by myocarditis as a consequence of an unknown vi…

…echocardiogram ordered by 28 May when coarse lung crepitations were noted would have revealed the enlarged heart. Expert evidence suggests earlier imaging might have enabled earlier transfer for ECMO or transplant consi…

general practiceemergency medicinediagnosticcommunicationloperamide
NSWhome2018-08-06

Inquest into the deaths of Diane Michel and John McCain

Unknown·Diane Michel: sharp force injuries to neck and wrists. John McCain: projectile i…

A married couple, both terminally ill with COPD and other serious conditions, died together at home in December 2016. Diane Michel (74) died from sharp force injuries to her neck and wrists; John McCain (76) died from se…

general practicepalliative care
QLDmental health2009-12-16

Shishko, Peter

47y · Male·abnormal heart rhythm (arrhythmia) induced by atherosclerosis, occurring in the …

… health facility while in involuntary detention. He suffered a fatal cardiac arrhythmia on a background of severe coronary atherosclerosis, sleep apnoea, and morbid obesity, while receiving multiple psychotropic medicati…

psychiatrycardiologydiagnosticsystemdiazepam
VICaged care2024-03-28

Finding into death of Shirley Hill Jones

85y · Female·Complications of a left ankle fracture (operated)

An 85-year-old woman with multiple comorbidities (diabetes, ischaemic heart disease, hypertension, prior stroke) sustained a left ankle fracture requiring surgical repair. A signific…

geriatric medicineorthopaedic surgerycommunicationdelayoxycodone
WAcommunity2013

Inquest into the Death of Harris, Mr

74y · Male·Ischaemic heart disease in association with coronary artery atherosclerosis

Mr Harris, a respected Aboriginal elder aged approximately 74 years, died of ischaemic heart disease with coronary artery atherosclerosis while travelling bush alone on 2 February 2010. He bogged his…

emergency medicinecardiologycommunicationsystem
SAhospital2016-10-10

Coroner's Finding: MACMILLAN Kay Meredith

62y · Female·end-stage heart failure due to cardiac amyloidosis

…essary, almost certainly unlawful, and driven by one clinician's inexplicable and erroneous judgment. Key failures included ineffective palliative care referral despite multiple clinical requests, lack of senior cardiol…

cardiologypsychiatrydiagnosticcommunicationmirtazapine
SAhospital2008-11-13

Coroner's Finding: WILSON Edward James

29y · Male·air embolus complicating gunshot wounds to chest

…. However, approximately 6 hours later he suffered sudden cardiac collapse. Emergency thoracotomy revealed severe lung contusion from blast injury (not direct penetration) that had created a defect allowing air entry int…

trauma surgeryintensive care
178914

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