Coronial

25 results for QT prolongation

VIChome2011-06-28

Finding into death of Robert William Keith

34y · Male·Unascertained; likely fatal cardiac arrhythmia secondary to electrolyte disturba…

…kalosis). The coroner concluded his death was likely due to an acute electrolyte disturbance causing QT prolongation and fatal cardiac arrhythmia. Clinicians should recognise that antipsychotic medications and recurrent …

psychiatryemergency medicinerisperidone
VIChospital2026-05-22

Finding into death of Stratos Ioannidis

45y · Male·focal coronary artery disease and cardiomegaly

…ications to manage his severe agitation and aggression. ECG monitoring revealed progressive QT interval prolongation, which can increase cardiac arrhythmia risk with certain medications. The coroner found medication sele…

psychiatryemergency medicinecommunicationsystemolanzapine
NSWhospital2023-02-10

Inquest into the death of Anzac Sullivan

38y · Male·Combined effects of coronary atherosclerosis and cardiomegaly, with methylamphet…

…secondary to severe underlying cardiac disease (coronary atherosclerosis, cardiomegaly, and possible QT prolongation) while fleeing from police attempting to execute an arrest warrant. Methylamphetamine use on the preced…

cardiologyforensic medicinedelaymethamphetamine
NSWhome2019-02-15

Inquest into the death of Margaret Rose CARR

62y · Female·Unknown. Likely natural causes, possibly with drug-related element. QT-prolongat…

Margaret Carr, 62, was found dead at her home in Redfern between 27 February and 1 March 2017. She had complex medical history including COPD, endocarditis, hepatitis C and substance use disorder (heroin, cannabis, metha…

general practiceforensic medicineamitriptyline
VIChome2017-08-28

Finding into death of Tara Sue Love

22y · Female·Sudden Arrhythmic Death Syndrome

…rmalities documented in January and April 2015 were not referred for cardiology review despite clear QT prolongation (QTc 480-534ms) and ST/T wave changes warranting further investigation. She was discharged postpartum o…

obstetricscardiologydiagnosticcommunicationlabetalol
VIChospital2020-07-14

Finding into death of Gerard Guy Vaz

61y · Male·Undetermined

…h QT-prolonging agents without adequate cardio-respiratory monitoring in a patient with pre-existing QT prolongation and sleep apnoea represented substandard care. Adherence to existing guidelines and appropriate escalat…

psychiatryemergency medicinesystemdelayzuclopenthixol acetate
NSW2022-12-06

Inquest into the death of Jason RADFORD

48y · Male·Fatal cardiac arrhythmia which was the result of obstructive sleep apnoea

…s adequately managed with CPAP, cardiac monitoring with regular ECGs was performed, and his QT interval prolongation risk from methadone was properly monitored. The resuscitation attempts on the morning of his death were…

cardiologygeneral practicemethadone
NSW2017-11-06

Inquest into the death of Edward Haenga

37y · Male·cardiac arrhythmia

…ustody from cardiac arrhythmia, with morbid obesity and concurrent psychotropic medications carrying QT-prolongation risk identified as contributing factors. Key clinical lessons include: (1) polypharmacy with multiple a…

psychiatrygeneral practicemedicationproceduralescitalopram
NSWmental health2025-03-28

Inquest into the death of NL

62y · Male·cardiac arrhythmia secondary to prolongation of the QT interval

…ar-old man with schizoaffective disorder and hypothyroidism, died of cardiac arrhythmia secondary to QT prolongation while an involuntary mental health inpatient. He had a known history of non-compliance with thyroxine m…

psychiatryendocrinologydiagnosticcommunicationthyroxine
VICmental health2024-04-19

Finding into death of Allison Naomi Eagle

44y · Female·Unascertained, presumed sudden cardiac death

44-year-old woman with schizophrenia and bipolar affective disorder died unexpectedly in a psychiatric inpatient unit. She had obstructive sleep apnoea and was on multiple antipsychotic medications. On the night before h…

psychiatryrespiratory medicinezuclopenthixol deconoate
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
TAShospital2020-04-03

Coroner's Finding: Hargraves, Audrey Doreen

80y · Female·sudden cardiac arrest due to multiple post-operative complications including myo…

An 80-year-old woman died from multiple post-operative complications following reversal of a Hartmann's procedure for diverticulitis. She had undergone a complex 8-hour surgery complicated by extensive adhesions (frozen …

colorectal surgerycardiologydiagnosticmedicationerythromycin
SAhome2014-01-31

Coroner's Finding: ROWAN Marjorie June

52y · Female·ischaemic and hypertensive heart disease

A 52-year-old woman with depression, diabetes, and hypertension died at home from ischaemic and hypertensive heart disease. She was prescribed dothiepin 225mg daily for depression management. Following gallbladder surger…

psychiatrygeneral practicedosulepin
VIChospital2012-01-23

Finding into death of Elizabeth Maryanne Holley

52y · Female·Hypoxic brain injury due to hypotension in a woman with documented electrocardio…

Elizabeth Holley, 52 years old, was admitted involuntarily to a psychiatric ward with a history of three weeks of declining mental health and medication non-compliance. She received high-dose antipsychotic medications in…

psychiatryintensive careolanzapine
WAmental health2024-07-19

Inquest into the Death of Phillip Benjamin VELTMAN

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

…on meant standard post-Acuphase monitoring protocols were not implemented. While the ECG showed mild QT prolongation (490msec), experts agreed this was within acceptable range. The patient died unexpectedly during sleep …

psychiatryemergency medicinecommunicationsystemketamine
TASmental health2017-05-04

Coroner's Finding: Harris, Stephen Russell

56y · Male·Probable cardiac arrhythmia

…ipsychotic injection and likely becoming non-compliant with oral medications. An ECG showed apparent QT prolongation (later determined to be a machine error). He was given clonazepam and paliperidone depot, settled, and …

psychiatrycardiologypaliperidone depot
VICmental health2023-05-22

Finding into death of Jennifer Gebert

49y · Female·Unascertained; most likely cardiac abnormality

Jennifer Gebert, a 49-year-old with long-standing mental illness and substance use disorder, died unexpectedly in an acute psychiatric unit on 6 December 2019. She presented to the ED intoxicated (BAC 0.159%) following b…

psychiatryemergency medicinealcohol
NSW2024-06-20

Inquest into the death of Michael Baker

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

Michael Baker, a 44-year-old Aboriginal man in custody at Lithgow Correctional Centre, died from cardiac arrhythmia on 25 June 2019. He had multiple comorbidities (hypertensive heart disease, obesity, type 2 diabetes, un…

general practicepsychiatrydiagnosticcommunicationmethadone
VIChospital2023-03-10

Finding into death of Armin Andrew Schaefer

63y · Male·Hypoxic ischaemic brain injury and pneumonia complicating cardiac arrest in a ma…

Armin Schaefer, a 63-year-old man with schizophrenia, cardiac risk factors, and emphysema, died from hypoxic-ischaemic brain injury and pneumonia following cardiac arrest on a psychiatric unit. He presented to ED on 15 A…

psychiatryemergency medicinediagnosticcommunicationdiazepam
VIChome2012-08-23

Finding into death of Shane Anthony Jarrett

29y · Male·Mixed drug toxicity (heroin, clozapine, zuclopenthixol, diazepam) in a morbidly …

Shane Jarrett, a 29-year-old with schizophrenia and substance abuse history, died from mixed drug toxicity (heroin, clozapine, zuclopenthixol, diazepam) complicated by morbid obesity. During psychiatric hospitalization, …

psychiatrygeneral practicesystemdelayheroin

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