Thanks for writing in. Please accept my heartfelt condolences on loss of life so young to a cruel disease.
Left Main Artery, as it give rise to two main branches supplying the heart is usually prone to critical situation. I do not think, serum triglycerides have much role to play in terminal event. It appears to be arrhythmic death as she did not complain of any chest pain
- only grabbed her chest signifying that blood flow to brain was also impaired. Stent blockade say with thrombus
would have impaired the blood flow to heart and she would have given you a minute or two for describing the chest pain. In both the cases heart attack
due to thrombotic occlusion of left main and arrhythmia
where death has occured in less than three minutes you would not have much clenching evidence on autopsy.
Yes, this unfortunate lesson teaches us important lesson that heart disease
is occurring in much younger patients. Cardiologists are aware and there is move to take away being a man as more prone to heart attacks below the age of 45. An effective CPR even by person trained to do so is usually not effective in absence of crucial equipment like DC defibrillator so please do not blame yourself for that. More than mouth to mouth of respiration which is primary she needed conversion of her arrhythmia to sinus rhythm
which would have been possible by thump cardioversion
and/or electrical cardioversion.
Dr Anil Grover