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most likely a Heart attack, given his age, and roid use. and cardiac arrest, mos tpeople assume its a heart attack, which is the most common cause of it.
If you don't mind getting into the weeds here a bit
A "heart attack" is normally understood to be a myocardial infarction, where blood flow in the coronary arteries is blocked leading to damage to the heart muscle.
And the most common cause of cardiac arrest is arrhythmia, and most specifically ventricular fibrilation (v-fib)
Now that damage to the heart from a heart attack can and frequently does cause v-fib and other arrhythmias, which can lead to a cardiac arrest, either relatively immediately, or further down the line from that heart attack.
But there's a whole host of other conditions, risk factors, and just plain bad luck that can also cause them.
Picking apart what percent of those arrhythmias are attributable to a heart attack vs those that were caused by other issues isn't something that I'm willing and maybe not even able to do as a layperson, so I won't begin to speculate on that.
But that's kind of the root of my issue here. A lot of people just kind of casually lump all sorts of heart issues together into the same basket. We all have hearts beating away in our chests, and they're pretty damn important if you want to go on living, so it's best if we all have some decent level of understanding of what these terms mean and how to treat, manage, recognize, and avoid these issues, and I think that just kind of casually throwing terms around like heart attack, heart disease, heart failure, arrhythmia, cardiac arrest, etc. like they're interchangeable does a lot of harm to people being able to properly understand what's going on with this weird pumpy muscle thing in our chests.