I hope @relaxedmeatball can chime in here, as there are several concerning elements of this diagnosis - perhaps he can explain what the standard process is at this point, is the patient warned, made aware, put on medication, supervised treatment - is the protocol different at the NHS, and therefore by implication he was killed by the negligent care from US providers. How is it handled in Britain? I assume a catherization procedure is mandatory with a 90% aortic stenosis, but this is presumably in an emergency setting and not just being put on a list “we’ll get to you when we can, hold on”. Back in the day this would lead to stenting, but that’s been deprecated, I think LLT and anticoagulants now? Please enlighten us!
He was only 54. Was the “markedly enlarged heart” subsequent to the hypertension diagnosis or idiopathic HCM? Or was this simply because of aortic stenosis? What about ejection fraction? Preserved? Perhaps you can throw some light here.
Nicholas Brendon’s cause of death revealed
https://people.com/nicholas-brendon-probable-cause-of-death-11931448
"A cause of death for Nicholas Brendon has been disclosed by the Putnam County Coroner’s office.
On May 5, coroner Todd Zeiner announced in a report obtained by PEOPLE that Brendon’s death was natural and he died of atherosclerotic and hypertensive cardiovascutar disease. The report lists acute pneumonia and previous myocardial infarction as contributing factors. The “mechanism of death” was 90% blockage right coronary artery."
“Zeiner said a longtime friend of Brendon’s, Theresa Fortier, was at his residence and called 911. “Theresa stated the decedent had been having a persistent cough and had been self medicating with over the counter medications. He had been complaining about chest pain. She recommended a hospital, but he declined,” Zeiner wrote. “He was a longtime smoker and was apprehensive about going due to his recent back surgery. She advised he had a recent heart attack several years ago, but he declined any further treatment at that time.””
“After finding no further evidence at the scene, his body was transported to the coroner for an autopsy, which determined the actor had a “markedly enlarged heart, severe stenosis of the right coronary artery, moderate stenosis of the left anterior descending and left circumflex arteries, acute pneumonia and inflammation of the small bowel. The small bowel inflammation is most likely secondary to ischemic changes related to the cardiogenic shock.””
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