This reminds of all the horror stories around sports and steroids and what not "giving" young people heart attacks. Short of taking extremely high stimulant do

This reminds of all the horror stories around sports and steroids and what not "giving" young people heart attacks. Short of taking extremely high stimulant doses during hell week two-a-days, there is very little you can do to give yourself a heart attack at a very young age. Smoking for 5 years and being somewhat sleep-deprived is not going to do that by 32, especially not if you've been working out every morning since college. You'll eventually suffer an increased risk of chronic diseases that can kill you, but not until many decades in the future. Assuming this really happened, the guy had a congenital heart defect.