In our age group, we see a new patient with LQTS a number of times a year, and are asked to evaluate children with a family history of it frequently. The genetic testing is getting better and better, so we are now seeing more known affected individuals having a specific channelopathy identified, which then lets us determine which relatives have the same gene and are at risk, and which ones are not at risk. It seemed to me that if there was a known family history he would have had a evaluation that would have diagnosed his LQTS. If he was the first person in his family suspected to have LQTS, it would be interesting to know if they sent the genetic testing, and if they did if they find a known LQTS causing mutation. Figuring out if the long QT was congenital or aquired has pretty significant ramifications for his family 
Ice Cold Igors Right Hand -These are my feelings EXACTLY. Thank you both.Momentum - As for me, I would rather celebrate his life than to discuss his death. Regardless of the reasons, this is a tragedy for his family and friends. While everyone is entitled to their opinions, sometimes it is best to keep them to yourself and show respect for those who loved Shane and are in pain from his death. RIP Shane.This exactly, voted up man.
Rahjai has been excellent on this thread. Answered a lot of my questions on the topic.
As far as not publishing these findings, I understand the desire to protect someone's family and reputation -- but having worked in pro wrestling in a past life, there is a benefit to exposing a problem that's (most likely) much more prevalent than fans imagine. MMA fighters are a lot like wrestlers in the sense that they live hard lives to various extremes. That usually means a variety of drugs to allow them to train, heal, party and sleep. Nasty combination.
eljamaiquino -Momentum - As for me, I would rather celebrate his life than to discuss his death. Regardless of the reasons, this is a tragedy for his family and friends. While everyone is entitled to their opinions, sometimes it is best to keep them to yourself and show respect for those who loved Shane and are in pain from his death. RIP Shane.If it stops someone else from repeating the same mistake, how is it bad? If someone dies in a car crash, and wasn't wearing his seatbelt, do we discourage people from discussing about.how.proper seatbelt use can prevent don't deaths? <img alt="Phone Post 3.0" border="0" src="/images/phone/droid.png" style="vertical-align:middle;" /></blockquote>
imo. There is a tactful way to express the blaring message from this news and still show empathy and respect for those who loved Shane and are still grieving. FRB has done the opposite here and further affirms his shitbrained quest to gain attention by any means necessary.
FRB it seems to me is the Perez Hilton of MMA.
Not a single fuck is given from me, as to what caused Shane's death. It just saddens me that he's gone, and I didn't even know the guy. I can only imagine what Ian, Shane's family, and his friends are feeling.
RIP Shane.
Inspector Lunge -JBASS - Was it really necessary for them to publish the presence of THC and Cocaine if they weren't part of the cause of death?? Seems a bit disrespectful to me, it's not like he OD'd
It says that the drugs didn't cause the heart attack but they contributed in his death, i.e. he might have survived if he wasn't high when the heart attack happened.
This...
crwhitlock - Publishing this information was totally unnecessary.Agree
i feel bad for his family and for posting things about drugs including cocaine now and for posting about bjj cus the other dude has died, im not going to write stuff on the internet any more and try become a better person, it would have been an awesome fight to see him fight again this next event. to be honest i also thought maybe it was some type of steroid because he needed to win and i assumed steroids would increase risk for some type of heart attack. i also thought anyone who has the ability, drive, focus and determination to make it to the ufc or to succeed in any combat sport or martial art would not be the kind of person to use any drug except a bit of alcohol in moderation or maybe a little bit of pot every now and then. this is a sad story and i did expect to read something about ped but im shocked to hear there was drug use. also another thing about cocaine is like you see in the movies people doing really big lines and scarface stuff. shane semed like a really nice guy and like someone who didnt do drugs and was never in that kind of social group. with the drug even if its not an overdose its the kind of thing someone should start out really small with until they understand its effects because it can cause heart attack. but really nobody should ever do it and even though i posted about it before i tried to stress this point that sober is the way to go and drugs are not the right path in life to ever start down.
time traveling 12er -I can't tell who is trolling and who isn't.
I agree, this didn't need to be published unless the family specifically asked for it to be released. It's surprising this was posted considering this site supposedly avoids negative stories about MMA and it's fighters. Maybe it's a cautionary thing.
He was a 30 year old elite professional athlete.
had a heart attack whilst high on a cocktail of drugs.
His room mate is also known to have abused drugs.
This is as clear as can be.
Shane paid the price for some bad decisions and if Creepy was involved somehow , well he needs to man up and live with that.
Sad situation for sure but this isn't a time for solidarity within the MMA community, this isn't something that should be swept under the rug because it's pro fighters and green names.
Sack the fuck up.
Ray Elbe -crwhitlock - Publishing this information was totally unnecessary.Agree
Disagreed. FRB is an asshole, and his lack of tact is indefensible. But when a public figure dies from anything other than natural causes, the information should be made available to the public as a learning opportunity.
A free society must have the ability to learn from its own mistakes. Otherwise we just have to depend on the "authorities" to tell us what we can and can't do for our own protection. I don't want to live like that. Anyone should have the right to do whatever they want in the pursuit of happiness, but the consequences of those pursuits cannot be marginalized. It's all or nothing.
ChaosOverkill -D241 -Do you really think FRB is trying to be like Ariel Helwani?
I think FRB is a UGer, a fan, a regular fan like most of us, but he also has insider knowledge, and he shares it with us. I don't think he's trying to be viewed as a journalist. Has he tried to send mma outlets stories or work he's done?
Serious questions.
He's bluring lines and gets mad when "haters" have issues with his methods. There's are industry standards for a reason. If he wants to divulge insider info and keep that reputation solid, separate it from the psychotic opionated racist attention whore thing.
I don't care if he's trying to be Ariel or not, but you can either observe facts that insider info in the form of a reveal IS A JOURNALISTIC STORY AND ELEMENT, or pretend you can have your cake and eat it too. It's not quasi-journalism there is no such thing, if you're breaking things no one else is in ANY way you are being a journalist and trying to pretend twitter can invent a new category of part time professional is abusrd.
You cannot be a little bit pregnant here no matter how you try you either take your insider info seriously or you tell everyone it's going to be 95% bullshit and take it as mostly fluff and he's not doing that.
See, this post makes it look like you are just wanting to place anger towards him unjustly.
My two lines-
I don't think he's trying to be viewed as a journalist. Has he tried to send mma outlets stories or work he's done?
He isn't what you want him to be. You want him to be more professional like most journalist. He isn't trying to be that(journalist), which is why he doesn't act like one, instead, he acts like a fan with inside info, except I don't think it's an act, I think he is a fan with inside information.
I know plenty of mma sites have posted stories based on his exclusive leads, but just because mma sources use him as their source, doesn't mean he's wanting to be viewed in the same light as the journalest who post the stories.
He isn't even posting on these forums, he uses his own personal twitter. Me personally, I don't "tweet", but I know many people do, not for "journalistic" purposes either. Why shouldn't he have the same right?
It's like if you followed someone on twitter who is just a regular joe, or maybe someone who gossips a lot about celebrities, you'd get mad at them for not being professional with information they share.
Reminder-FRB posted on his own personal twitter, his own personal opinion.
I don't see why people have the attitude of "see, that guy isn't a journalist, a real journalist wouldn't be so opinionated like that, and on twitter of all places!!"
That'd be like watching Dan Rather on ABC news, and thinking, "why the fuck can't he keep his personal opinions to himself? Doesn't he have a facebook or twitter? Why's he got to be so professional"?
It's Dan Rather's job to be professional. It is not FRB's job to post inside info and personal opinions via his personal twitter.
Momentum - As for me, I would rather celebrate his life than to discuss his death. Regardless of the reasons, this is a tragedy for his family and friends. While everyone is entitled to their opinions, sometimes it is best to keep them to yourself and show respect for those who loved Shane and are in pain from his death. RIP Shane.This ...
Public info is public info, but in this case this is a site that supposedly makes it a point not to post negative stories about MMA.
This is the main poit TimeTraveling12er was trying to make, and anyone who has followed this site around news stories of Mrs. White's "book", Lloyd Irvin Scandal, etc....has seen the higher ups on this website state that they don't publish stories that make mma look bad.
I've seen too many (seemingly healthy) young people die because of heart issues (substance related and not)... I used to do coke recreationally, and other possibly heart stopping shit. But having seen how fucking fragile your LIFE motor can really be sometimes has scared me straight, I won't touch coke again (or any drug that'll contribute to heart failure)...
I can't blame Rosario though, he was doing what many healthy people his age have done, what I have done, sadly he didn't know his heart wasn't capable of handling it....
RIP SHANE.
Rahjai, what are some practical ways to halt or reverse these processes around the time that symptoms of an AMI would set in?
A simpler example would be the use of epinephrine to reverse a histamine-based reaction.
Yeah shitty to tell the world but so what.... everyone likes to party and he wasnt a junkie so dont matter
Kinkle - I've seen too many (seemingly healthy) young people die because of heart issues (substance related and not)... I used to do coke recreationally, and other possibly heart stopping shit. But having seen how fucking fragile your LIFE motor can really be sometimes has scared me straight, I won't touch coke again (or any drug that'll contribute to heart failure)...
I can't blame Rosario though, he was doing what many healthy people his age have done, what I have done, sadly he didn't know his heart wasn't capable of handling it....
RIP SHANE.
+1
I think a lot of us are torn because it's such an important issue to discuss, but there is also no more important of a time to speak respectfully about someone and equally as important, be respectful of those who are suffering from the sense of loss.
krept - Rahjai, what are some practical ways to halt or reverse these processes around the time that symptoms of an AMI would set in?
A simpler example would be the use of epinephrine to reverse a histamine-based reaction.
Not entirely sure what the question is that your asking but I'll try to answer with what I think your asking.
Cardiac arrest is a systemic response in this case to drugs like cocaine that cause a massive release of catecholamines like NE/EPI/DOPA which all act as stimulants and vasoconstrictors. Once cascade has begun, you can't really stop it, all you can do is minimize damage to the heart which like the brain, doesn't regenerate cells but scars off with dead tissue (infarct).
In his case, he went into likely QT prolongation and then eventually ventricular fibrillation which would be a shockable rhythm. So if and IED was availabe, best treatment is shock ASAP. This can be done by EMS on the field if they detect a shockable rhythm.
The fact that he was still being resuscitated while in hospital tells me that he likely had a combination of Vtach/V fib along with either PEA or asystole altogheter which we typically try to correct with medications like epinephrine/vasopressin. This type of rhythm however is very difficult to fix. These rhythms contribute the most to the prolonged downtime (time of heart stopping to time of circulation). No matter how good the person doing CPR, you just can't replace the work of the heart and the brain craves oxygen. Lack of these is imcompatible with life.
The team resuscitating would also look at electrolytes and see if they can replete them (mainly acidosis, Mg, Ca, K) as this contributes to continual arrest.
So no real way to halt process unless its shockable rhythm but once the damage is done, its permanent. No miracles here unfortunately.