Coroner's Finding: de-identified HK

32y · Female·Unable to be determined

A 32-year-old woman with obesity was prescribed Ozempic 1mg weekly in August 2024 (above the recommended starting dose) for weight management. She developed prolonged gastrointestinal symptoms and took loperamide for diarrhea control. On 27 December 2024, while driving in Perth, Tasmania, she suffered a sudden medical event, causing her vehicle to accelerate uncontrollably through an intersection and collide with parked vehicles and a building. Despite bystander and paramedic CPR, she died at the scene. Autopsy revealed no structural abnormalities, intoxication, or obvious cause of death. The coroner concluded the cause of death could not be determined but identified possible mechanisms including undiagnosed genetic cardiac channelopathy (Long QT Syndrome) with concurrent QT prolongation from loperamide use. The coroner recommended genetic and ECG screening for first-degree relatives to identify potential channelopathies.