Coronial

26 results for stress test

NSWhospital2010-09-02

Coxell 2011 06 14 12 32 04 475

61y · Male·cardiac tamponade caused by aortic dissection due to hypertension

…current chest pain and a new cardiac murmur but failed to recognize these as contraindications to exercise stress testing or to escalate to the on-call cardiologist. Dr W. performed the stress test while the patient had …

emergency medicinecardiologydiagnosticproceduralglyceryl trinitrate
NThome2016-10-17

Inquest into the death of Krista Lloyd

36y · Female·myocardial infarction as a consequence of severe focal coronary artery atheroscl…

…d sudden out-of-hospital cardiac arrest on 1 May 2015 at home. Initial ECG showed poor R wave progression; stress testing was ordered but not documented as completed. She arrested while vomiting, aspirated, and despite p…

cardiologyemergency medicinediagnosticdelaymorphine
TAScommunity2025-04-24

Coroner's Finding: de-identified FG

53y · Male·Acute myocardial infarction due to triple vessel atherosclerosis and thrombosis …

…3-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, and …

cardiologygeneral practicediagnosticdelayrosuvastatin
WA2026-01-08

Inquest into the Death of Lewis Walter WARD

Male·out-of-hospital cardiac arrest due to atherosclerotic cardiovascular disease and…

…ison doctors identified evidence of previous myocardial infarction on ECG and referred him for an exercise stress test. The appointment scheduled for February 2022 was missed, then erroneously marked as attended in hospi…

cardiologyemergency medicinediagnosticsystem
SAhome2020-07-09

Coroner's Finding: HALES Fiona Joy

33y · Female·hanging

…story of methamphetamine addiction, previous suicide attempts (2007/2008 and December 2016), and was under stress from child custody disputes. Her case manager provided appropriate supportive care including fortnightly m…

psychiatryaddiction medicinemethamphetamine
VIChome2022-07-14

Finding into death of Mr P

71y · Male·Exsanguination from incised wounds to the neck and wrist

…opped psychiatric medications in 2017 and was managed by his GP. In June 2019, he presented with increased stress, alcohol intake, and suicidal ideation (denied intent). Test results from 19 June were reviewed by his doc…

general practicepsychiatrycommunicationsystem
SAhome2024-06-19

Coroner's Finding: Muller, Simon David

46y · Male·acute neck compression due to hanging

… had been unemployed since 2017 and had no known previous mental health diagnoses or suicide attempts. Drug testing on 9 June 2021 returned positive results for amphetamines and methamphetamines, but he was not informed …

communicationdelayamphetamine
NT2012-03-07

Inquest into the death of Robert Martin Johnson

34y · Male·asphyxiation by hanging

…er found the at-risk assessment process relied too heavily on prisoner self-reporting and the 'smiley face' test, which lacked cross-cultural validity. Key lessons: electronic health alerts must be systematically accesse…

psychiatrygeneral practicediagnosticsystem
QLDhome2007-09-13

Babington, Lynette

64y · Female·Pulmonary embolism secondary to deep vein thrombosis in right leg, with contribu…

…symptoms and arranged timely specialist investigation. While Mrs Babington experienced significant chronic stress related to neighbour disputes, the coroner concluded stress was only a minor contributing factor medically…

general practicecardiologyatenolol
SAhome2019-07-24

Coroner's Finding: McNAMARA-CUTLER Juanita Lee

26y · Female·neck compression due to hanging

Juanita Lee McNamara-Cutler, a 26-year-old mother of three with a complex history of mental illness, substance abuse, and prior suicide attempts, died by hanging on 7 September 2014, three days after release on home dete…

psychiatryforensic medicinemethamphetamine
VICcommunity2011-03-17

Finding into death of Stuart Judd

39y · Male·Ischaemic heart disease with complete occlusion of the left anterior descending …

…cling, chopping wood) and arm heaviness. The doctor diagnosed reflux oesophagitis, ordered ECG and troponin testing (both normal at 3.5 hours post-symptom onset), and prescribed Losec. The coroner found that while initia…

general practicecardiologydiagnosticdelayomeprazole
NThospital2021-01-07

Inquest into the death of Edgar Forrester

56y · Male·aspiration pneumonitis secondary to airways obstruction from squamous cell carci…

Edgar Forrester, a 56-year-old Aboriginal man, died of aspiration pneumonitis secondary to oesophageal squamous cell carcinoma with metastases while in custody. He presented with progressive dysphagia from September 2019…

general practicecardiologydiagnosticdelay
WAhospital2005-06

Inquest into the Death of Ilija Kocovski

72y · Male·Subarachnoid haemorrhage in a man with coronary arteriosclerosis

Ilija Kocovski, a 72-year-old man with a history of ischaemic heart disease, presented to Royal Perth Hospital Emergency Department on 22 October 2000 with chest pain, nausea, vomiting, and headache after arriving in Per…

emergency medicinecardiologyheparin
VIChome2013-07-30

Finding into death of Chase Robinson

8y · Male·Carbon monoxide poisoning

…lesson is that CO poisoning from domestic appliances is preventable through regular professional servicing, testing ventilation systems for safety, and avoiding retrofit exhaust fans without gas fitter assessment. Early …

delaysystem
NSWcommunity2024-05-03

Inquest into the death of Keith Titmuss

20y · Male·exertional heat stroke

…g session following an extended off-season break. Keith had the lowest aerobic fitness of his cohort (Yo-Yo test score 680m vs 1600-1800m expected), weighed 4.6kg more than end of previous season, had BMI 35.3, and low b…

sports medicineemergency medicinesystemdelaymidazolam
SA2014-11-28

Coroner's Finding: MAYGER John Christopher

58y · Male·Ischaemic and hypertensive heart disease

…d regular medical assessment including cardiology review by Dr M., who appropriately arranged investigative testing (dobutamine sestamibi scan, vascular surgery assessment, halter monitoring) following palpitations in Oc…

cardiologyemergency medicinerosuvastatin
WAmental health2001-02-02

Inquest into the Death of Giovanni Mario Franco

30y · Male·Acute Cardiac Dysrhythmia of Uncertain Aetiology

…adequate, and death arose from natural causes—likely cardiac dysrhythmia resulting from prolonged physical stress imposed by his severe psychotic illness.

psychiatryintensive caremedicationflupenthixol decanoate
QLD2025-10-08

Inquest into the death of Peter Owen Pilkington

48y · Male·gunshot wound to chest

Peter Owen Pilkington, 48, died from a gunshot wound sustained during a police siege on 6 December 2021. After escalating behaviour at his NDIS support office in Stretton, Queensland, Peter produced what police believed …

emergency medicinetrauma surgerysystemmethamphetamine
WA2022-03-28

Inquest into the Suspected Death of Michael Richard GRUBB

33y · Male·Drowning (unascertained - possible injury sustained upon reaching dinghy)

Michael Grubb, age 33, died by drowning in Cockburn Sound, Western Australia on 16 August 2019 after jumping from a yacht without a lifejacket to retrieve an adrift dinghy during severe weather conditions with gale-force…

systemdelay
SAcommunity2009-03-30

Coroner's Finding: DALLING Brian Terrance and SALOTTI Jack William and GRZYWACZ Richard John and SOBEY Brian Leslie

Male·acute myocardial infarction due to coronary artery disease (all four); specific …

… hypertension, family history); failure to follow diagnostic protocols requiring immediate ECG and troponin testing; misinterpretation of ECG changes or failure to seek specialist ECG interpretation despite available iCC…

general practiceemergency medicinediagnosticcommunicationaspirin

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.