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Says it was after he was playing pickleball, so I'm guessing heart attack.
Heart attacks, if you mean infarctions, will still be quite rare in 50s, especially in someone who is able to play pickleball. I would also imagine his doctor would be unlikely to have missed signs of coronary artery disease.
I would guess it is more likely that he simply passed out for one reason or another since it was the middle of the night, he had played sports, potentially sleepy dehydrated and maybe even under the influence.
He's had a long history of drug abuse as well though, which can have some pretty bad long term effects.
He could develop toxic cardiomyopathy, but it is not that acute, and while it can in late stages cause dangerous arrhythmias, which some would conflate under “heart attacks”, a cardiomyopathy that advanced would also mean he is out of breath climbing up a flight of stairs, so probably no pickleball.
Pickleball
Hot Tubs feel great, but they wreak havoc on the circulatory system.
Spike your blood pressure something fierce.
Googled it, hot tubs temporarily lower blood pressure.
https://www.health.harvard.edu/heart-health/hot-baths-and-saunas-beneficial-for-your-heart
Dr. Adolph Hutter.
I'm guessing that man has an immaculate signature that makes sure it's super clear that there are two t's and no l's in his last name.
Also, shaves everyday.
Just above his lip only. Full beard otherwise. "It's literally the opposite of the hitler stash!"
Yeah, better be sure.
Or his handwriting is so bad that his signature is a completely indecipherable squiggle. Seeing as he's a doctor that seems more likely.
So actually comprehending this, if that is what I'm doing, the heat is causing your body to do what it does when your blood pressure is spiking, but since you are in a body of water, the weight of the water is changing the atmospheric pressure on the the body, and nets to lower blood pressure.
Heat is making the heart pump harder, and the blood move faster, but the atmospheric pressure is dilating the blood cells, resulting in net lower PB.
Kinda sounds like "wreaking havoc on the circulatory system". Same as rigorous exercise weeks havoc on the circulatory system.
Overdo stress on the circulatory system, get heart attack or stroke.
Pressure would play little role here, generally it would increas peripheral resistance as well as pressure inside the chest cavity, prompting the heart to work harder. However I doubt at a regular water immersion in a hot tub causes a noticeable effect.
Then heat causes your blood vessels to dilate in an attempt to dump the heat outside, because you are in a hottub this will end up warming your core, which will also dilate more blood vessels inside as well as raising your resting heart rate.
The net effect is slightly faster heart rate (still usually under 100, so not even in light excercise teritory yet, more like walking teritory) with a lower blood pressure.
None of this is close to wrecking havoc, yet the initial drop from getting in quickly can be fast enough, that with a high enough vagal tone (i.e perfect storm of other situations - tired, dehydrated, intoxicated, chronically tired or w/e) you could temporarily pass out. Analogous to someone passing out from getting up too quickly.
lemmy le downvoteddit eeheee
But that guy sounded so confident, he even added a superlative
Sounds like it's not as simple as I thought it was.
Pretty sure I'm still pretty accurate on the "wreaks havoc" part.
You are not
Okay hot tub salesman.
Indeed, hot baths are so harmful to your health, which is one of the reasons why the Japanese have one of the shortest lifespans on the planet - it's because of those daily hot baths and onsen that they partake in.
What a dipshit argument.
Ya, if you run 5 miles a day every day, you're gonna be in great shape.
If you snort mountains of coke and eat cake without any exercise for 20 years and then force yourself to run for 5 miles, you're going to blow your heart out.
Recent studies say for most people, a half hour in the hot tub is the equivelent of a half hour run. It is intense on the circulatory system.
If you are saying Mathew Perry had the diet and physical activity level, and hence the circulatory system of a 54 year old Japanese man, then youvare a dipshit.
It is the equivalent of a half hour walk at best, heart rates dont generally break 100’s in a hottub, a slow jog will be in the 120-140 range.
If I recall my terms right it’s vasogenic shock. Essentially pipes without enough fluid and thus not enough pressure make the pump go wonky… so, yea, havoc wreaked. I’d say you’re accurate there.
Vasogenic shock is caused generally by severe disregulation in the body - anaphylaxis, sepsis, lactic acidosis.
What could have occured is a vasovagal syncope, where a sudden transient drop in blood pressure causes someone to lose consciousness temporarily. In this case, being tired, sleepy and getting quickly into a hottub, or sitting in it for a bit and then getting up suddenly could do the trick.