Dr.Alex

Question 1

What is your name?

Answer 1

Alex Schwartz

Question 2

What is your occupation?

Answer 2

I am a Board-Certified Cardiologist

Question 3

What are your degrees of education?

Answer 3

I have a BS and MS (Master of Science) in Nutrional Science from Metropolitan University
I graduated from Metropolitan Medical School in 2015

Question 4

What have done as work?

Answer 4

For the past 5 years , I have been a researcher in the Cardiology Department of Metropolitan Medical Center. I have conducted clinical studies related to the ingestion of energy drinks like Slamaniad , specifically, focusing on the caffeine content and warnings regarding use provided by Gooddrinks.

Question 5

What are being asked here?

Answer 5

I have been asked here today to give my opinion on whether the ingestion of 3 Slamanaids , in 3 minutes, then engaging in jumping jacks and running in the heat caused or led to the untimely death of Rory Salerno

Question 6

Have you seen the postmortem scans?

Answer 6

Yes

Question 7

Do you agree with Dr. Scott diagnosis of Rory?

Answer 7

Yes, I agree w/ their diagnosis of Rory suffering with Hypertrophic Obstructive cardiomyopathy

Question 8

When does HOCM become apparent?

Answer 8

At around the age of 17.

Question 9

Is it common for teens not to be diagnosis with HOCM?

Answer 9

Yes

Question 10

What are some signs of a person might have Hypertrophic Obstructive Cardiomypathy

Answer 10

Sudden fainting especially if the person is active

Question 11

Why do people with Hypertrophic Obstructive Cardiomyopathy suddenly faint?

Answer 11

The Ventricular wall of the heart thickened as a result, there is less space in the heart to fill with blood as is necessary to be pumped to the brain and organs. Since there is less blood being pumped to the brain it leads to fainting. This is known as extreme dehydration

Question 12

How can people get a heart attack w/ HOCM?

Answer 12

The ventricular walls are very large, leading to the inability to obtain blood flow

Question 13

What does extreme dehydration do to the heart rate ?

Answer 13

Extreme dehydration causes the physical heart rate to increase so there is less time to fill ventricles to pump blood to the brain and organs

Question 14

In the case of Rory, what does his heart rate increasing due to dehydration or working out means for him?

Answer 14

It causes more an issue for him than w/ someone without HOCM

Question 15

What is the connection between HOCM & the misuse of Slamanaid?

Answer 15

The misuse of Slam, to a person w/ HOCM would cause the individual to more likely suffer from heat stroke, heat exhaustion, and extreme dehydration than any other energy drink since Slamanaid contains caffeine with no electrolytes or salts.

Question 16

What does the caffine and very little electolytes and salts do to the body of an individual w/ HOCM?

Answer 16

The caffeine elevates the heart rate and an electrolyte imbalance. This disparity in supply and demand in the body causes the heart to exert itself into exhaustion. The individual will develop lactic acid in the tissues which it cannot release dur to HOCM. In addition, the individual is not supplying oxygen to the blood and organs efficiently

Question 17

What is the caffeine in energy drinks like in terms of the effect it has on the heart?

Answer 17

The caffeine in energy drinks is like using cocaine in terms of the effect on the heart and its efficiently or inefficiently

Question 18

How did Rory die?

Answer 18

Sudden Cardiac Death

Question 19

Is Rory predisposed to suffer from discomfort?

Answer 19

Rory is predisposed to feeling some discomfort if engaged w/ extreme physical activity, however it was the inappropiate ingestion of Slamanaid in a short time frame and then conducting extreme physical activity in the heat that caused the death of Rory.

Question 20

Do you believe that Rory could have died solely of his condition?

Answer 20

In my expert opinion, I can say with a degree of medical certainty that even with the HOCM condition w/out the ingestion of Slamanaid, Rory would not have died solely of from the physical activity he engaged