Matthew Alexander Flatman · Prevention of Future Deaths report

On 8th July 2013 I commenced an investigation into the death of Matthew Alexander Flatman, age 35. The investigation concluded at the end of the inquest on 2nd September 2014. The conclusion of the inquest was:
Narrative Conclusion:
1- Matthew Alexander FLATMAN died at Queen Alexandra Hospital, Portsmouth, at 08.50 hours on 5th July 2013 having been taken there by ambulance having experience chest, jaw and arm pain at around 07.00 hours and a cardiac arrest at 08.00 that day.
2- The previous evening he had taken a "legal high" substance, MDAI.
3- Although his post-mortem examination revealed that he had died from a myocardial infarction and that he had severe coronary artery disease, on the balance of probabilities, his consumption of MDAI precipitated the myocardial infarction and his subsequent cardiac arrest.

Matthew Alexander FLATMAN died at Queen Alexandra Hospital, Portsmouth, at 08.50 hours on 5th July 2013 having been taken there by ambulance having experience chest, jaw and arm pain at around 07.00 hours and a cardiac arrest at 08.00 that day.

(1) The "legal high" taken by Matthew Flatman was a substance known as Gogaine or MDAI. This substance is in the process of being proscribed as an illegal drug but the process is so very slow.
(2) MDAI presents a fatal risk to all its users but particularly to those with cardiac problems and its proscription should be accelerated.