I am guessing that the coke and the booze played a big part here.
Guy was a regular customer in swinger club. So it was booze coke and viagra all nite long.
For steroid he was blasting all year long, for 10 years. I know a lot of juicer, all family man style, with normal nife, none of them had heart attack.
The "rec", as you call them in the u.s, are very dangerous with aas.