66y · Male·Unable to be determined due to advanced decomposition; coroner noted likely medi…
Ronald Charles Ross, a 66-year-old male with significant vascular disease, hypertension, and hyperlipidaemia, was found deceased in his home in Tasmania after an estimated 4-week period. The cause of death coul…
60y · Male·Ischaemic cerebrovascular accident
…ic history (manic schizophrenia, depression) and cardiovascular risk factors (diabetes, hypertension, hyperlipidaemia), collapsed on 19 May 2013 at a secure psychiatric extended care unit. Imaging revealed large left mi…
56y · Male·coronary atherosclerosis
…ritical clinical lesson: Roberts had multiple uncontrolled cardiovascular risk factors (hypertension, hyperlipidaemia, overweight, significant family history of early coronary death) that were inadequately managed. His …
69y · Male·Ischaemic cardiomyopathy due to or as a consequence of coronary atherosclerosis …
…re ischaemic cardiomyopathy (previous triple coronary bypass in 2000), Type 2 diabetes, hypertension, hyperlipidaemia, and morbid obesity, died of acute myocardial infarction while in custody at Wolston Correctional Cen…
46y · Male·cardiac arrhythmia in a man with coronary arteriosclerosis and myocarditis
… unrecognised cardiac risk factors including metabolic syndrome, obesity, diabetes, hypertension, and hyperlipidaemia. During his final admission, he became extremely agitated due to inability to smoke, required sedatio…
74y · Male·ischaemic heart disease; acute myocardial infarction due to significant atherosc…
A 74-year-old man with severe dementia died suddenly of ischaemic heart disease while detained at a secure mental health residential facility. He had been transferred to Clements House after his severe behavioural distur…
57y · Male·Coronary atherosclerosis
David Samuel Morris, aged 57, died from coronary atherosclerosis while in custody at Woodford Correctional Centre on 19 November 2011. He had a significant cardiac history including dilated cardiomyopathy, atrial fibrill…
76y · Male·Complications of metastatic renal cancer in a man with multiple medical co-morbi…
A 76-year-old man with metastatic renal cancer and multiple comorbidities died in prison from complications of his malignancy. Following a family meeting in November 2023, goals of care were clarified and the patient cho…
58y · Male·acute myocardial infarction caused by ischaemic heart disease
Gregory Merriman, a 58-year-old Aboriginal man, died from acute myocardial infarction caused by advanced ischaemic heart disease while in custody at Metropolitan Reception and Remand Centre on 27 December 2022. He experi…
48y · Male·Ischaemic Heart Disease in association with Coronary Arteriosclerosis
A 48-year-old Aboriginal man died of ischaemic heart disease with coronary arteriosclerosis while in prison custody. He had significant pre-existing cardiac disease and was diagnosed with myocardial infarction in 1998, y…
50y · Male·Ischaemic and valvular heart disease (severe aortic stenosis) with other signifi…
A 50-year-old man with severe ischaemic and valvular heart disease (aortic stenosis) died suddenly in hospital following multiple myocardial infarctions. He had consistently refused invasive interventions including valve…
49y · Male·atherosclerotic and hypertensive cardiovascular disease, with type 2 diabetes me…
Elias Melhem, aged 49, died in custody from atherosclerotic and hypertensive cardiovascular disease with contributing type 2 diabetes. On 8 December 2019, he experienced chest pain at work but reported feeling better aft…
53y · Male·Acute myocardial infarction due to triple vessel atherosclerosis and thrombosis …
A 53-year-old man with chest pain on exertion presented to his GP in March 2022. Initial investigations (blood tests, chest X-ray) were ordered but follow-up was delayed until July 2022. A cardiology referral was made, a…
37y · Male·Complications due to atherosclerotic heart disease and dyslipidaemia
Glen Dooley, a 37-year-old Aboriginal man, died of atherosclerotic heart disease and dyslipidaemia while in custody at Darwin Correctional Centre. His death was avoidable. He had abnormal ECGs in 2019 and 2022 that were …
45y · Male·atherosclerotic heart disease
Lex Gregory 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 appropr…
64y · Female·Ischaemic heart disease
A 64-year-old woman with intellectual disability in supported residential care died from ischaemic heart disease. She presented with abdominal pain, vomiting and diarrhoea on 8 June 2010, was examined by a general practi…
65y · Male·aspiration pneumonia
Roger Alan Gibson, a 65-year-old man with advanced Alzheimer's disease and severe behavioural disturbance, died from aspiration pneumonia at the Roy Fagan Centre. He had been admitted following escalating aggression requ…
53y · Male·unascertained
BD, a 53-year-old man with insulin-dependent diabetes, went missing on 14 July 2014 after withdrawing his bank savings, writing a note requesting cheapest cremation, and driving to a remote woodland area near Euroa, Vict…
73y · Male·metastatic small cell lung cancer and sepsis
A 73-year-old man with metastatic small cell lung cancer and sepsis died in Royal Adelaide Hospital while in prison custody. He had been sentenced in May 2015 and received appropriate oncology care including chemotherapy…
75y · Male·bronchopneumonia
Barry Ronald Tate, 75, died of bronchopneumonia following a fall at a palliative care ward. He sustained an unwitnessed fall on 26 September 2019 while attempting to shave himself without assistance, despite being advise…
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