Everyone is making so many assumptions and there is so much bad logic.
In response to BMJ above:
1. It sounds to me like his doctor told him exactly what the issue was and it was the insulin.
2. Who cares about what his other issues were, if was other issues that would have been apparent to whoever treated him.
3. Diet doesn't mean shit really, it's more genetics for CAD when you talking about the heart. Plus he is going to be MASSIVELY insulin resistant (aka type II diabetes) from taking all that slin for sure.
4. Lipids? You are fooling yourself, lipids, and managing lipids, doesn't mean jack shit unless you already have CAD, studies prove this. I mean we don't even know if he had CAD, lipids have nothing to do with this.
5. Family history, doctor would have taken this into consideration, this is literally the first thing they do.
6. Cardio isn't going to prevent this.
7. Again, "improving lipids" does nothing in people without CAD.
Coaches AND SPORTS have a responsibility to protect athletes, at least to some extent. This is more heavily ingrained in more civilized cultures (European for example) than in American culture. The fact that bodybuilding doesn't do anything to protect the health of its athletes is a big reason why it will never go "mainstream" in its current state (let's face it, if it wasn't for the "dark side" of bodybuilding, it would be huge, media coverage, tv, etc).
Coaches that don't protect their athletes are going to start going down here at some point, I would guess we are on the cusp of massive legal action.
Those were just questions to evaluate his history, they were not stating a cause. I agree with some of what you wrote, but question some of it as well....I'm not sure if you read or watched something I haven't on all this? If so disregard, but there just wasn't that much info shared (from the OP and the IG link where he talked about it) except him promoting for people to put their health #1, and to ask questions from their trainers....and that he mentioned steroid abuse and insulin putting him over. I think i'll still keep my stance on it being multi-factorial than just one thing....'at this point.'
1) It doesn't mention anything about what the doctors stated, you are assuming that is what the doctor stated. All we know is that he had a heart attack from what i've read....nothing of what could have lead to it. He never didn't mention anything about "the doctor did this and thinks this...."
2) Well, if he had elevated BP for years and clogged arteries, I think that would be important to know and could lead to a heart attack.
3) I must have missed the part him stating he was Type-2 diabetic, or are you assuming? I know guys who are not diabetic and have taken that amount of insulin and more...and no, i'm not promoting it...I don't even like slin. 30iu (10iu TID) insulin humalog/humulin-r was pretty standard 10-15 years ago, even from some of the 'safer' coach's out there if they felt it was needed. Not saying diabetes isn't involved, but he hasn't stated whether he is or isn't. I guess i'll just have to agree to disagree with you on "Diet doesn't mean shit...." IMO, it would play a huge roll in heart health, especially if he was taking drugs that aren't heart healthy at the same time. IMO, they are a synergistic negative effect on heart health. I'm sure he is insulin resistant to some degree, i'll agree on that, as an assumption. We don't even know how long he was taking slin, and at the stated amounts.....2 weeks, 6 weeks, 10 weeks, longer? Hence why I think more info needs to be known.
4 and 7) I know lipid research can be controversial, but again, we don't even know what caused his heart attack, or how he has abused AAS. If he is on compounds that drop HDL into single digits and drive LDL/TG's up, along with other markers, for most of the months out of the year, that can't be good for the heart, especially if he has hypertension. That was the point of my questions above was to gather more history on his health, use/abuse and anything else to put him at risk....and I never stated insulin wasn't a factor.
I'd have to disagree with you on a grown man, one who has been around for awhile competing, not taking the time to learn what he is putting in his body. I feel the coach's should also have some sort of 'care' in all this as well, but if a coach wants me to take X amount of something I am not comfortable with, I alone have the choice to go that route or not. I'd damn sure not take something unless I knew it's actions and possible sides effects. It sounds like he already knew all the possible side effects and what could come with it, he even mentioned steroid dot com as a good source, so if he knew this info from reading about it, why did he continue the course?