Ask the Doc; The cause of death of Tyler Skaggs -

Ask the Doc; The cause of death of Tyler Skaggs - tyler skaggs death tyler skaggs cause of death tyler skaggs wife tyler skaggs family tyler skaggs injury tyler skaggs net worth tyler skaggs espn tyler skaggs instagram

Ask the Doc; The cause of death of Tyler Skaggs -

Hi guys let's just jump in so there's a lot of report about why or how Tyler Skaggs may have passed away but everything is now coming to a halt based on the autopsy findings and a lot of the laboratory studies and tests such as drug screens are send out labs and they're saying roughly about ninety days it'll take to process there's been a lot of media coverage showing and morning Tyler Skaggs he was in the prime of his career he was a baseball pitcher and that recently passed away a few days ago without potential cause a lot of support from Californians in my area and angel fans and I'm just gonna give you a mechanism or possibly my take on what may have happened and educate you guys on potential findings and maybe do a post-op article explaining the autopsy results when available so 

I want to bring your attention to this slide sorry if it's not the most clearest but if you squint your eyes you can see that from nineteen hundred's the main cause was most people were dying from infections now as of 2010 and as we go further and the same same kind of evidence in 2019 it's almost a third of people are dying from heart disease so if I were to make a prediction I'm assuming something cardiac happened to Tyler that led to his sudden passing as I don't feel that he had cancer and a well-built highly tuned athlete the common condition that I'm talking about is called sudden cardiac arrest it's basically a condition in the vessels of your heart that are fairly okay but there's some electrical issue that happens leading to an arrhythmia or a regular conduction of electrical beats throughout the heart and when this continues it can cause a fatal paralysis of the beating of the heart and 

I just want to show you this kind of screenshots almost it is very common one in nine men will experience studying cardiac death before age 70 so this could be a possible cause for Tyler coming from the same article it showed that most of the sudden cardiac deaths were actually on the follow ups of people of these 5200 men that were doing a follow up and men were more prevalent than women by almost a factor of 10x so if you break down potential causes of sudden cardiac death looking at this pie chart almost 75% is related to some form of coronary heart disease basically the narrowing and thickening of plaque of your blood flow vessels to your heart but there are other rare conditions you can have kardama up with these basically structural issues that affect the musculature of the heart and then the other one that 

I'm trying to talk about which is called arrhythmias you could have an inherent electrical issue going on in the heart and that that's very rare there accounting for about 2% of that but another big common process is valvular heart disease there's a lot of people that have structural issues inherently origin or congenitally they're born with but as they pursue more physical activity or as they age then they start having problems with breathing and then later you find a diagnosis of cardiac issues so this can give you a little indication of the cause of sudden cardiac death and maybe what I think is possibly happening to Tyler as a possible cause of him found immediately dead in his hotel room so let's talk about the anatomy of the heart I'm talking about all this electrical activity but how does this get conducted so there's an 

SA node it's a group of cells that basically signal an electrical beat at a high frequency and then that frequency is getting relayed to what's called the AV node think of the AV node as something that dampens that high-frequency so say the SA node is beating at 200 beats a second the AV node regulates it to about a hundred and 50 ish and then that signal goes down to what are called the Purkinje fibers or the Purkinje network fibers and you can see that it travels down the middle of the heart and then it fans outward and that's how an electrical activity conduction occurs starts from the top of the cells moves to the middle and then fans out once it hits around the Purkinje fibers that's where you get your normal heart rate resting around 60 80 beats a minute so there could be a structural issue with this we don't know the status of 

Tyler's heart if he had congenital issues but there's also structural issues that could occur with the valves of the heart and if these are abnormal too you can also develop arrhythmias or electrical activity disturbances so these are the two electrical activities that all Doc's hate to have in their patient because it usually leads to a code blue or cardiac arrest so the first one is called a ventricular tachycardia and then the other one is called ventricular fibrillation these are irregular electrical activities occurring at the ventricles or the lower part of the heart and you can see fibrillation it's basically spike and wave patterns no real pattern to it and then ventricular tachycardia is a very fast high conduction of electricity the downside is is even though you're getting current going through the muscles the muscles are basically shaking and paralysis and they're not beating or moving blood throughout the body and then eventually the body will start suffering from oxygen deprivation 

I put this slide to basically explain the importance of electrolytes and how an abnormal electrolyte such as your sodium your potassium your calcium can cause electrolyte I mean can cause electrical dysfunction in the heart leading to sudden cardiac death so say if your sodium level is very high in a setting of diarrhea you're losing a lot of water this can cause electrolyte issues if your potassium is very low it can start altering what we call ST segments in the electrical activity of your heart and it can also lead to ventricular fibrillation elevated potassium this is a way we kill prisoners when we put them to the death chamber so it can stun the heart causing it to go into cardiac arrest and same thing with calcium I'll let you guys pause the article and look at a little bit more detailed but in short what these segments are these called st segments or 

PR intervals or QT segments these are intervals of the electrical activity waveform that goes through the heart that's being modulated in a negative way and can put a patient at risk for heart heart attacks or cardiac death or arrhythmia so the importance of this is if you were a baseball player and you're overly working outside you can become dehydrated you'll definitely have sodium issues if you're not having a balanced diet your potassium will plummet if Tyler was taking some medication that modulates is fluid intake like such as a diuretic like hydrochlorothiazide to help with blood pressure issues he could also have lower potassium so medications can also adjust electrolytes just the the work that he does sweating outside a lot of physical activity that can also impact electrolytes and who 

knows we don't know his electrolyte status and hopefully they can shed light if he did have an electrolyte imbalance that could have explained why he passed away all right so this is another potential explanation of the the way he may have passed away the cause is called a pulmonary embolism usually you see this in people that in case of Tyler's position are always in the plane flying long distances not moving a lot and they have some form of stagnation so in that stagnation the blood is pooling in the calf muscles when they're in a seated position and this puts you at risk for developing a condition called DVT basically the clot then migrates from the calf up the veins into the heart and causes a massive blood clot in the pulmonary artery causing huge stunning of the respiratory system and it can lead to someone failing to oxygenate losing their ability to breathe and 

then putting stress on the heart and then having a heart attack like I said there's a clot that develops in the lower calf area specifically in the venous side and a lot of it can be from someone just sitting there you know I don't know if Tyler had any trauma to the calf because trauma can cause it pulling a blood and then you're more clot prone I don't know what type of medications he's on there are certain meds that can cause the blood to become more thicker and more thrombotic aka more developing of a clot I don't know if he had any operations to the venous side or stenting placed but immobilization or basically someone being bed bound or long flights are the big common causes for lower DVTs and healthy individuals and then followed by trauma so here as the clot is developing and lower part of 

the leg it does start moving upward towards the heart and lungs the clot will then eventually enter the pulmonary artery and occluding or blocking off the flow of blood impacting the body to oxygenate and then what that does is it indirectly increases the pressure throughout the circulation of the heart so as the clot is getting bigger in the pulmonary arteries you can see that the lower part which is called the tricuspid valve which is connected to the right ventricle in this big blue triangle that section of the heart gets very high in pressure and the tricuspid valve can start leaking and then you get backflow of the heart and essentially the right side of the heart stops contracting you get blood pooling down into the liver into the lower legs and essentially the patient can't oxygenate because the blood isn't moving 

from their legs to their lungs and then from their lungs into the heart and then from the heart throughout the body so here's what I'm talking about the tricuspid valve basically it's a valve that is in between the right atrium labeled RA and the right ventricle labeled RV and what happens is blood flows through up into the heart via the inferior vena cava and also blood pools from the head down from the superior vena cava and then links into the right atrium then moves into the right ventricle up to the pulmonary artery and that's where you get this clot so if you think about plumbing and high pressure gradients if you have a big clot at blocking the PA artery you're gonna have a lot of backflow so I put these arrows down showing that blood is actually reversing flow back into the right ventricle back through the tricuspid valve back into the right atrium and then you can see how someone can 

fail to oxygenating so in general what I think is occurring and maybe my prediction on why Tyler Skaggs passed away so suddenly is he probably had sudden cardiac death it was probably from an arrhythmia and the arrhythmia was probably triggered either from a medication he was taking that modulated his electrolytes or he was dehydrated or overly word didn't drink enough fluids and his potassium sodium levels were out of whack and that caused him to go into a weird arrhythmia maybe v-tach or v-fib and essentially out a heart attack I don't think he had massive cardiac disease will learn if he had really bad coronaries or he has a genetic family history of bad coronary arteries with the autopsy so they'll be ruled out hopefully they were able to get a blood sample to look at the electrolytes but sometimes the electrolytes can change as the body starts to decompose and cells get 

further destroyed causing an artificial change in the electrolytes and then what they can do is on postpartum they can evaluate the heart and look at the septal wall the the thickness of the walls and they can tell you if you had any structural or congenital issues or valvular issues that Tyler probably never knew of because he never had any issues with the physical activity but as he aged maybe the structural issue became so severe that it impacted his heart and then the other potential cause I'm probably thinking is most of these baseball players are traveling left and right they have so many games to play they're in the air sitting in planes buses and I feel that maybe he developed a DVT or a clot in the lower leg and it turned into a fatal pulmonary embolism and causing him to have trouble with oxygenation so this is a tape from a medical doc I'm just giving you my perspective much 

respect to Tyler and his family this is really sad that this happened to such a young man especially almost in the the peak of his career and my heart goes out to him and the family and the angels organization once again if you guys like the content the media the coverage that I'm trying to put out there in the world smash a like button subscribe give me some more comments if you want specific topics but I think this article was kind of fun because it took the interest of sports but also mashed it up with medicine I'll be doing a couple more articles like this because I just think it's a fun for everybody to learn medicine this way once again thanks for enjoying the vlog and have a great day.



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