Coronial

276 results for cardiac symptoms

VICaged care2010-08-19

Finding into death of Raymond Giles

53y · Male·Pneumonia in a man with Down syndrome and dementia; epilepsy

…sidential settings and the importance of prompt recognition of acute deterioration, fever and respiratory symptoms as potential indicators of serious infection requiring urgent medical assessment.

general practicerespiratory medicineparacetamol
WAmental health

Inquest into the Death of David GRIEVE

45y · Male·Coronary Atherosclerosis

David Grieve, a 45-year-old man with chronic schizophrenia and multiple cardiac risk factors (hypertension, diabetes, obesity, smoking), died of coronary atherosclerosis while an involu…

psychiatrycardiologysystemcommunicationhaloperidol
VIChospital2026-05-22

Finding into death of Stratos Ioannidis

45y · Male·focal coronary artery disease and cardiomegaly

…gitation and aggression. ECG monitoring revealed progressive QT interval prolongation, which can increase cardiac arrhythmia risk with certain medications. The coroner found medication selection was generally reasonable…

psychiatryemergency medicinecommunicationsystemolanzapine
QLD2025-09-05

Findings into the death of Faysal Ishak AHMED

30y · Male·Acute pneumonia and multi-organ failure, due to or as a consequence of traumatic…

…onal Processing Centre on 22 December 2016. He collapsed and fell while alone, likely due to either acute cardiac arrhythmia or seizure from severe hyponatraemia—neither condition could have been predicted beforehand. H…

emergency medicineintensive caredelaymannitol
VICaged care2013-11-21

Finding into death of Ivo John Martinov

58y · Male·Unascertained causes

…curred; (5) The death may have been due to undetected cardiovascular disease, as the patient had multiple cardiac risk factors (diabetes, obesity, smoking). Clinicians should not over-interpret elevated post-mortem cloz…

psychiatrygeneral practicesystemclozapine
WAhospital2003-07

Inquest into the Death of Mark Andrew Burnside

45y · Male·Natural causes - cardiac arrest, most likely secondary to severe tardive dyskine…

…ever, and dystonic reactions. Despite treatment with benztropine and benzodiazepines, he died suddenly of cardiac arrest on 7 November 2001. Post-mortem examination revealed an unascertainable cause, though severe tardi…

general practicepsychiatrythioridazine
QLDhospital2011-09-20

Anderson, John Clive

36y · Male·infective endocarditis

…-urgent (category B, 30-day appointment). The patient deteriorated rapidly in late May with pneumonia and cardiac failure, requiring emergency hospital transfer on 30 May where endocarditis was confirmed. Despite aortic…

general practicecardiologydelaycommunicationamoxicillin
VIChospitalPodcast2026-02-20

Finding into death of James Harilaos Tsindos

17y · Male·Hypoxic Ischaemic Encephalopathy Complicating Anaphylaxis

…with respiratory distress some 12 minutes later, adrenaline was administered but he rapidly progressed to cardiac arrest. The coroner identified two key missed opportunities: (1) recognizing the wheeze as recurrent anap…

emergency medicineallergy and immunologydiagnosticcommunicationadrenaline (epinephrine) intramuscular
QLDhospital2016-02-29

Mr B - Non-inquest findings

84y · Male·Acute myocardial infarction precipitated by upper gastrointestinal haemorrhage f…

…ric ulcer, possibly exacerbated by concurrent use of a naturopathic cherry juice product and rivaroxaban. Symptoms were masked and presented as anaemia. Critical learning points: anticoagulant choice should consider pati…

cardiologyhaematologymedicationcommunicationrivaroxaban
VICpolice2017-04-10

Finding into death of Michael John Darmody

51y · Male·Combined drug toxicity (methadone and benzodiazepines) in a man with coronary an…

Michael Darmody, 51, died in police custody from combined drug toxicity in the setting of underlying coronary and cerebrovascular disease. He was remanded overnight and found unconscious at 6.01am. Key clinical lessons: …

emergency medicineintensive carecommunicationdiagnosticmethadone
SAhospital2016-10-10

Coroner's Finding: MACMILLAN Kay Meredith

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

A 62-year-old woman with end-stage cardiac amyloidosis died from cardiogenic shock approximately 90 minutes after being placed on a Level 1 inpatien…

cardiologypsychiatrydiagnosticcommunicationmirtazapine
VIChome2025-09-17

Finding into death of Robert John Robinson

74y · Male·Pulmonary thromboembolism in the setting of deep leg vein thrombosis

…ns should maintain heightened clinical suspicion for DVT/PE in post-surgical patients presenting with new symptoms.

surgeryanaesthesiacommunicationenoxaparin
NT2018-11-26

Inquest into the death of Jeremy aka Lawrence Tunkin

39y · Male·acute myocardial ischaemia, coronary artery thrombosis and coronary artery ather…

…entified communication barriers as a significant issue. Key lessons: healthcare staff must recognise that cardiac pain can present atypically and be referred to the neck/throat area; heightened vigilance is needed for h…

emergency medicinecardiologycommunicationdiagnosticadrenaline
QLDhospital2022-04-26

Jessen, Tyson Lee

28y · Male·Gunshot wounds of the neck, chest and abdomen

…an wanted for armed robbery in Victoria, was arrested in Queensland and admitted to Ipswich Hospital with cardiac symptoms. While in police custody, he remained under guard in hospital. Senior Constable Richardson was l…

emergency medicinecardiologycommunicationsystemmetoprolol
VIC2020-01-29

Finding into death of Prisoner A

55y · Male·Ischaemic heart disease in a man with multiple system atrophy (Parkinsonian type…

…medical care provided was adequate. Death resulted from ischaemic heart disease without preceding warning symptoms. No errors or system failures were identified.

cardiologyneurologylevetiracetam
VIChospital2012-07-03

Finding into death of Pruseyus Lily Sharp

0y · Female·Hypoxic brain injury secondary to pneumonia and pulmonary haemorrhage

…nary haemorrhage caused by picornavirus infection. She presented with severe apnoea and minimal preceding symptoms—notably no fever, cough, or wheeze—making early recognition challenging. Her parents noticed she was unwe…

paediatricsneonatologydelay
VIChospital2018-10-18

Finding into death of Maxwell Norman Campbell

68y · Male·pulmonary thromboembolism in the setting of recent surgery

…kers, and a possible bowel perforation requiring re-operation. A MET call at 5:30am revealed non-specific symptoms consistent with several diagnoses (sepsis, cardiac event, PE). Clinical examination, investigations and d…

bariatric surgerygeneral surgeryheparin
VICaged care2024-08-22

Finding into death of Rosemarie Paton

68y · Female·Intestinal pseudo-obstruction in a woman with multiple sclerosis

…dent of specialist disability accommodation requiring 24-hour nursing care. On 15 May 2023, she developed symptoms of intestinal pseudo-obstruction and was assessed by a doctor who appropriately determined that comfort c…

geriatric medicineneurology
SAhospital2023-03-01

Coroner's Finding: Coats, Beverley Joy and West, Heather Maud and DSouza, Lorna Margaret

Female·haemopericardium due to aortic dissection (all three cases)

…ischarged after ACS protocol ruled out heart attack; aortic dissection was not considered despite classic symptoms, and would likely have been preventable with earlier diagnosis (5-10% surgical mortality). Lorna D'Souza …

emergency medicinecardiologydiagnosticcommunication
VIChospital2015-12-09

Finding into death of Benjamin David Johnston

36y · Male·Global hypoxic brain injury due to hanging

Benjamin Johnston, a 36-year-old male, died by hanging after six weeks of varenicline (Champix) treatment for smoking cessation. Two weeks before death, his partner noted significant behavioral changes: withdrawal, irrit…

general practicepsychiatryvarenicline
1891014

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