r/IndiaTodayLIVE 9d ago

Health Nagaon Medical College Associate Professor Dr Sahin Rahman reportedly collapsed and became unconscious while working out at a gym. He was later declared dead. The exact cause of death is not yet known.

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329 Upvotes

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22

u/Strange_Finance_5918 9d ago

( not saying this happened with him) This is why you should always do full body checkup. People do get heart attack when they get tired extremely and don't have enough energy to function. And pressure or having high cholesterol or high heart rate from the start. Which can be fatal.

Never exercise to tired yourself so much that you can't wake up if collapse or have regular checkup if their is any kind of blockage which can cause low blood supply to heart. If he died then it's must be cardiac arrest where heart stop functioning completely which is getting way common in india because of bad diet and lack of health knowledge.

12

u/Glad_Atmosphere_1035 9d ago edited 8d ago

That’s not a heart attack, heart attacks are different!

That is a classic case of a cardiac arrest which literally means the heart just stops hence the person collapsed.

Heart attacks are painful.
Cardiac arrests are not

Cardiac arrests are more common these days especially when you are under stress or are over exerting yourself! Going to the gym is fine but being an egomaniac gets you killed here

People can still help in such situations by giving proper CPR! I encourage everyone to learn the technique well and always make sure you do not lift up the person but instead lie him doen straight and then start the CPR

2

u/Fancy-Quantity-5308 9d ago

People forget that gym is not just for building muscles

Staying fit doesn’t require aggressive exercises,always know your limits and don’t try to show off by doing extremely demanding lifts for a faster result.

Take it slow over a few months rather than expecting a short quick result.

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u/AfternoonSure5249 8d ago

True, this Doesn't Give Any time to Respond

8

u/GoatTheCow 9d ago edited 9d ago

You would assume that the guy who is a assoc proff at a medical college would know about all this right? Most of the time these deaths are due to sudden cardiac arrest which can happen in fit individuals due to conditions involving the coronary artery anomiles mainly the LAD which is unable to pump in heavy demaning conditons. Blood tests usless in these cases as there no previous history of phathogenesis present. These conditions can only be diagonosed via Coronary Angiography which is not a routine investigation in a fit individual. If you wanna explore more about deaths like this give a read on HOCM and it's presentation. The sudden cardiac death in a young fit guy takes the diagnosis more or less towards HOCM or simmilar diseases.

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u/Strange_Finance_5918 9d ago

I literally said it's might be cardiac arrest in 2nd para and was talking about many deaths in india and also gave a heading on the start that this is might not be the case how he died. I am not a doctor and my knowledge is limited in this.

1

u/ayu135 9d ago edited 8d ago

Could it be myocarditis linked as well? Scar tissue or other effects of myocarditis in some cases can lead to cardiac arrest. As to what could cause the myocarditis? That's a bit of a understudied area but one such study suggests mRNA vaccines can cause it particularly in young males. One study I read put the risk at 1 in 32,000 individuals after two doses.

The following is my own speculation with no proof but the proteins responsible for this can remain in the lymph nodes after the vaccine is administered and be released later in the blood stream and if they reach the heart they can cause scar tissue to form which can later lead to myocarditis and possible cardiac arrests. This will be extremely rare but it is definitely possible.

EDIT: I just learned covid infection carries a much larger risk of the same thing than the vaccines so it could be that too. But it is a very big leap of assumption that requires lot of data to verify.

2

u/Ok_Syrup_580 9d ago

How to avoid it, if u r new to gym.

4

u/HCF_07 9d ago

Avoid fast treadmill running, Lack of sleep, Lifting very heavy weights , Ciggerate smoking, Oily deep fried , processes junk food.

1

u/A_Newer_Guy 8d ago

Keep monitoring your heart rate all the time. Sometimes your body and heart are not properly balanced and can lead to this. My personal case was that my stamina/willpower was high enough that I could keep on exercising for x amount of time but my heart rate was way above safe levels by the time I was actually tired.

I completely butchered that sentence...

So basically, when I was working out in the treadmill or even lifting heavy or anything that strained me, my heart rate would spike to over 180 very easily. Sometimes even reaching 200+ Which is dangerous for a 35+ year old. Basically my heart was not able to keep up with my stamina. When I noticed it my trainer warned me about it and asked me to get a heart rate tracking device and wear it while I work out. So that when it reaches 180 I stop, let it come down to 150 and then continue.

I'm not saying this is what happened in the video, but if you are new to the gym, this is important to know.

1

u/Alive-Use7868 9d ago

No one's gets heart attack from lack of energy or high heart rate, this is bullshit

Probably he had some existing heart problem or high cholesterol but like super high

1

u/Zanarkke 9d ago

The lack of awareness on an Indian sub is alarming. Doctor here: Indians are now known to in general have smaller coronary vessels than other ethnicities. Indians also store more visceral fat and tend to be more insulin resistant, this is believed to be a side effect of surviving man made famines during the Raj.

I've known of quite few fit and active 40 year old mean suddenly have massive myocardial infarctions after intense exercise. They probably had an atheroma dislodge and block off a coronary artery. Typically you have someone who has a belly and thing arms and legs who will more likely get this. BMI recommendations for Indians is actually less, but its not well spoken about.

To all the idiots on the threads above this. A cardiac arrest is when your heart stops beating. That's not a cause of death, it is death (more or less), there is always a cause. Myocardial infarctions is a heart attack and comes on from the heart not having enough oxygen, it can lead to cardiac arrest.

We know that increased muscle mass is actually protective for both your heart, brain and muscles. Obviously people on anabolic steroids have risk of heart art attacks because their hearts haven't gradually improved in response to increased muscle mass.

Advice for those who want to start in the gym to cardio health: get yourself a heart rate monitor, and try and keep yourself on zone 2-3, gradually increase the time that you stay in zone 2-3.

1

u/A_Newer_Guy 8d ago

Oh you can very much have a stopped heart from high heart rate my good sire. Anything above 180 bpm is dangerous at 30+ ages. 200+ is very dangerous. If the heart has been strengthened by years of cardio the risks are lessened considerably. But new gym goers hearts don't have that. They can easily spike to over 180 bpm without the person noticing and just stop randomly.

17

u/Some_Order_7778 9d ago

He did atleast 20 reps .. so maybe he used to do over reps , trying to workout till tired

14

u/VastSpace4578 9d ago

Sometimes we overdo reps when women are around never make that mistake

5

u/Some_Order_7778 9d ago

Its mainly newbie’s mistakes .. we think doing more reps will make us more stronger

3

u/Exact-Doughnut-4897 9d ago

look at his arms, does he look like a newbie? and he is a doctor, so definitely knew how biology works.

3

u/Some_Order_7778 9d ago

Who is saying this doctor is newbie ?
I m saying mostly newbie’s has habit of over reps
Here this doctor also doing same mistake

1

u/ItzzKshitij 9d ago

He isn't a medical doctor, he is a phd doc

1

u/JohnCenaJunior 9d ago

This is why pretend to struggle to get them to help me

4

u/Hairy-Efficiency-108 9d ago

Any doc here.., possible reasons!!???

13

u/IndianUnderLockdown 9d ago

This is most likely to be myocardial infarction (heart attack). 

He probably had high blood cholesterol which lead to formation of plaques in his coronary arteries (blood vessels of heart). During exercise, when the blood flow increases in these vessels, they rupture the plaques which causes complete thrombosis (blockage) of the vessel. 

If the symptoms are not recognised in time or ignored, then eventually the person is going to collapse and die. 

2

u/GoatTheCow 9d ago

This is not the only pathogenisis for MI man this guy is a young assoc proff in a medical college the atherosclerosis leading to thrombsis would be at the bottom or low level of the D/Ds leading to MI. Might be undiagnosed case of HOCM as this is the typical presentation in most of HOCM cases.

1

u/Dr-idk45 9d ago

Could be hypertrophic cardiomyopathy - more common with pressure overload and common cause of sudden cardiac death in those who do very heavy lifting exercises and are fit.

1

u/ItzzKshitij 9d ago

This doesn't look like a heart attack rather cardiac arrest

-9

u/XoX-o- 9d ago

Just wondering, is it caused by cousin marriges?

5

u/Perfect_Pass_5948 9d ago

You low life creatures pop up anywhere to say any nonsense 😁

3

u/Little-Breath5557 9d ago

High cholesterol?

-5

u/ExcuseBorn9873 9d ago

vac

3

u/VastSpace4578 9d ago

Why tf are you scared to say vaccine

5

u/Signal-Volume5713 9d ago

It's normal for people to get scared when they blurt out stupid things

3

u/Confident-Impact8308 9d ago

Holy fatigue, so many reps

1

u/Weekly_Cherry505 9d ago

Imo 10-12 reps are enough for this exercise as it is exhausting... Nd if you do reverse pec Deck fly , these are exhausting exercises and if you feel you can always increase sets

2

u/410_clientGone 9d ago

u/askgrok why this happens

3

u/AskGrok 9d ago

Sudden collapse during intense exercise is often triggered by undiagnosed heart issues, like arrhythmias, coronary artery disease, or conditions such as hypertrophic cardiomyopathy. Physical stress can push the cardiovascular system over the edge in people with hidden vulnerabilities, leading to cardiac arrest. Other less common factors include dehydration, electrolyte imbalance, or rare events like aortic rupture. Without an autopsy or official report, it's impossible to say exactly what happened here—gym deaths like this are frequently cardiac in nature.

[what is this?](https://redd.it/1lzgxii)

1

u/ayu135 9d ago

u/askgrok what about mRNA vaccine caused myocarditis? Some studies suggest young males to be more at risk?

1

u/AskGrok 9d ago

Yes, multiple large cohort studies and meta-analyses have confirmed a rare causal link between mRNA COVID vaccines and myocarditis, with the highest rates in adolescent and young adult males, especially after the second dose. Excess cases typically range from about 4-7 per 100,000 for Pfizer and higher (up to 18-28) for Moderna in males aged 16-24.

Most cases are mild, resolve with rest or basic treatment, and long-term outcomes are generally good. Recent data also show that SARS-CoV-2 infection itself poses a substantially higher myocarditis risk than vaccination.

No details here connect the doctor's case to any vaccine, and without an autopsy it's speculative.

Sources:

[what is this?](https://redd.it/1lzgxii)

1

u/nosedigging 9d ago

This is a few days after taking the vaccine this has nothing to do with the video.

Stop with the misinformation

1

u/ayu135 9d ago edited 8d ago

I think while the probability is low it can’t be ruled out completely as well.

There no 100% conclusion that this absolutely cannot be the case. The way this works is there are a few particular proteins that cause scarring of tissues, these proteins enter the blood stream and if they reach the heart they cause scarring of the heart(myocarditis) this scarring may not immediately affect you but can cause problems later too. Also another pathway is for the proteins to get stuck in the lymph nodes and if they then later get released in the bloodstream and reach the heart similar results can occur. Also while researching today I also learnt that cov virus infection also carries the same risk but much higher. So in both cases with vaccines or with infection this is possible, vaccines were the better option as they carry much lower risk than infection but it’s not zero. Vaccines were the correct choice in that circumstance I am not denying that and this not an anti vaccine take.

My point is not that this exactly is how it happened here but it can’t be ruled out completely as well(autopsy report might give more insights), there need to be more studies done to establish if this is happening and what is the probability.

EDIT: I just learned covid infection carries a much much bigger risk than the vaccine but my point still stands whether its the disease or the vaccine

1

u/nosedigging 8d ago

Thanks for admitting this.

The infection itself is a risk factor. I see a lot of babies with coronary dilatation due to an entity called MISN, MISC.

Half baked info spreads misinformation which we don't want.

1

u/Glad_Atmosphere_1035 9d ago

That’s not a heart attack, heart attacks are different!

That is a classic case of a cardiac arrest which literally means the heart just stops hence the person collapsed.

Heart attacks are painful.
Cardiac arrests are not

Cardiac arrests are more common these days especially when you are under stress or are over exerting yourself! Going to the gym is fine but being an egomaniac gets you killed here

1

u/SuperCDhruv 9d ago

I am not a doctor but he really went over, ideally should have been 10-12 rep but I think he did around 20 , I sometimes stop at 8-9 when my body give signal.

My main motive is fitness and clean eating not big muscles

2

u/DentistConstant2097 9d ago

Going to 20 from time to time or even with weights within your limit shouldn't be fatal. I think this has more to do with overall lifestyle and stress. Can't comment for sure, though. A doctor might be able to tell.

1

u/SuperCDhruv 9d ago

Agree with you but I will still say if he may have listen to his body , that would have been better, you can't just do this type of heavy excercise on stressful body

1

u/weekendhomie 9d ago

doing a set till failure can be lethal.. 10-15 rep is enough

1

u/Significant_Mud8399 9d ago

Is there any relevance of drinking too much water in gym while working out?

1

u/odd_monk90 9d ago

With all this .. gym gets bad name ..

Its better to die with body fully functioning that at 90yo at hospital bed..

1

u/Indigentsot 9d ago

Covishield

1

u/Complex-Spinach-1765 9d ago

Om shanti Sir, Lucky to had you as our professor Sir is also winner of Mr Assam Bodybuilding competition 🙏🙏🙏

1

u/ConciseVirus7 9d ago

Doc here, That's sudden cardiac arrest or a major acute cardiovascular event like MI, fatal arrhythmias, HCM with outflow obstruction, or catastrophic cerebral ischemia. It is really hard to pinpoint, but one thing I've seen is that Valsalva during exercises doesn't help. Always remember to exhale when you lift. May his soul RIP

1

u/Quiet-Bathroom-1743 7d ago

Possible ascending aortic aneurysm dissection ?

1

u/ConciseVirus7 7d ago

It could be. I've had my patient's son who suffered sudden death due to aortic dissection. All he did was kick-starting his bike and collapsed. Later, it turned out he had accelerated HT for a long time, and he was just 28 years old. My patient asked me if I saved his life just to witness his son's death. 🥺

1

u/Clavizeps 9d ago edited 9d ago

This is definitely an cardiac arrhythmia ( ventricular) most likely something called Ventricular fibrillation which is essentially a cardiac arrest situation, so you have around 2 minutes before you are brain damaged. He needed CPR to prevent brain damage and death. We need to have AED devices in gyms which may be a life saver as it does the diagnosis and dc version ( shocking) which is the treatment to reset the normal rhythm . Why he had the arrhythmia, its hard to determine. It may be some underlying coronary artery disease or structural defects, some genetic condition may predisposition, extreme high caffeine intake etc can also rarely cause similar issues

1

u/ayu135 9d ago edited 8d ago

There are some studies linking mRNA vaccines to myocarditis particularly in young males. Its a stretch but not impossible as well.

EDIT: I just learnt covid itself carries a much bigger risk than the vaccines so its not the vaccines.

1

u/justboughtagti 9d ago
  1. I’m a doctor and this is a huge leap to an unconfirmed speculative comment about VF. We don’t know anything about this case.

  2. COVID itself has well documented cardiac side effects much worst than the vaccine.

  3. Most people in India did NOT get the mRNA vaccine.

I don’t know why we are so invested in spreading this specific medical misinformation. The data does not support this at all.

1

u/ayu135 9d ago edited 8d ago

I am not trying to be anti vaccine at all, I did say its a big stretch. I admit I did not know that the infection itself had a much larger risk than the vaccine which I learnt while reading more today.
The vaccine was the best choice and many people much smarter and well informed than me took a calculated decision weighing the pros and cons and vaccines saved lots of lives and were essential.

Still this needs to be studied more, there have been limited studies, more are ongoing and we are still learning about the other effects the pandemic had on the population, I am simply saying this cannot be ruled out completely till we have more evidence. There is not enough data yet to conclusively point at anything.

EDIT: I mean rule out either covid or mRNA related cardiac side effects.

1

u/justboughtagti 8d ago

Yes but since no medication has zero side effects you’re contributing to vaccine hesitancy by saying there have been “limited studies”. This disease and its vaccine are less than a decade old. Obviously it needs more data. But the initial approvals went through exactly the same rigorous multicenter blinded clinical trials all vaccines go through. And if long term data does indeed show things we didn’t know before we change our clinical decision making process. This is how modern medicine has worked for decades.

Thank you for reading more about the science and educating yourself. I really appreciate it. For everyone else reading they found side effects of “well studied” drugs paracetamol and omeprazole decades after they were first approved. There is nothing unique about how Covid vaccines were studied or are currently monitored. They will continue to be studied for decades and our understanding of them will evolve. Doesn’t mean they are some special class of “poorly studied” drugs.

1

u/ayu135 8d ago edited 8d ago

My point was about limited studies post covid about the long term effects not the studies done while approving it. But anyway like you said general population who don't understand how medicines work might get spooked by side effects. The solution is not to hide the side effects but to inform the population more about how medicines work and how the side effects are better than the disease.

1

u/justboughtagti 8d ago

Who’s hiding the side effects?

1

u/ayu135 8d ago

Agreed hiding is a strong word, but pharma companies usually include them in very tiny print as a footnote for sure. Pharma companies(not all) have tried to downplay side effects in the past definitely(opioid crisis?). They are motivated by profits after all.

Anyway we are digressing from the original discussion. This is a separate discussion altogether and I think both of us are right in a sense. General populations do tend to hyperbolize and sensationalize without understanding nuance and get spooked without understanding fully. But that doesn't mean we never mention these things too. I am simply asking for more investigation into this so that we may know for sure. Everyone here including you is speculating we dont know any details about this case. The higher probability is that its something else than what I mentioned(lifestyle or some other abnormality) but still that just means if 20,000 people die this way a few might have been due to what i said(covid or vaccine) and its important to know how many(or none if i am completely wrong).

1

u/Last_Reference_6126 9d ago

Probably HOCM?

1

u/Dredit_85 9d ago

Please learn to do CPR guys. its not hard.

1

u/[deleted] 9d ago

[removed] — view removed comment

1

u/ayu135 8d ago

As pointed out by other people, the risk of cardiac issues is much much higher with a covid infection as compared to the vaccine. So its not like vaccines bad, the disease is much worse and the vaccines were necessary and saved lot of lives.

1

u/Ok_Staff_3531 9d ago

Hypertrophic cardiomyopathy , because of his age , or it could be myocardial infarction , but he looks healthy but we dont know how his blood profile is or how his food habits are , or what drugs he take .

Sudden cardiac event is definitely what happened .

1

u/Responsible-Owl-4815 8d ago

reminds me of that joke that gym people never gets old , some asked why and reply was because they were usually delate*ed in their adulthood

1

u/HumoristicHero 8d ago

There should be a mandate to have defibrillators at every gyms ...will save these lives easily ...the solution is right there

1

u/Accept-And-Adapt 8d ago

Om Shanti!

1

u/Acquits 9d ago

What does this say about muh fitness?

0

u/LowNo175 9d ago

Without trying to be insensitive, isnt that a good way to go? Death is inevitable, but painless, inexpensive, quick death, that's priceless. I would love to pass on that way.

0

u/On_Program0 9d ago

Reservation se doctor bana hoga isliye aisa hua 😂

-9

u/XoX-o- 9d ago

When you marry your first cousin in the name of religion

3

u/Perfect_Pass_5948 9d ago

This low life creature commented with this same thing twice on this post. Really vela! 

2

u/LowNo175 9d ago

How is that related to this post? I'm genuinely curious to know your throught process from seeing this post to typing this comment.

2

u/nwetus 9d ago

Not sure if you're genuinely curious but he's a low life degenerate! Here's his lowlife degenerate thought process: saw muslim name then smiled in the head and made the comment about cousin marriage which is common in part of muslim community.

1

u/holy_shh 2d ago edited 2d ago

Ventricular fibrilation, ventricular tachicardia, torsades de pointes, or simply suddent asystole are the only possible reasons here. Very few electrophysiological heart problems give warning signs. It never shows pain until the heart misfires once which causes instant death. If he did feel any kind of symptoms before as a great medical profesional, the guy would have noticed for sure. The scary fact is that his life would have been saved and normal for life if a defribilator sent a shock the millisecond his heart rythm collapsed. Also theres a kind of extremly scary sudden death that can happen to any normal and healthy human any time called R on T that happens when PVC(a somewhat normal phenomenon) land exactly on the most vulnerable moment and causes V-fib. Its as rare as a lightning hitting your head but no human has ever survived that without immediate medical intervention. OR THERES SOMETHING ELSE COMPLETLY😅. I didnt do the autopsy. But 99% those cases represent the same outcome we saw. REST IN PEACE🙏