
“Engaging in endurance sports can increase the risk of sudden cardiac arrest due to the intense physical exertion and potential stress on the heart. On the fact that Murthy was an avid cross-country biker and trekker, Dr Chandra highlights how engaging in extreme sports without the knowledge of underlying conditions can be damaging. That’s why we advise people to start a course of diuretic called Diamox at least a week before the intended journey so that it reduces the fluid in the body and protects you from edema,” says Dr Nishith Chandra, Principal Director, Interventional Cardiology, Fortis Escorts Heart Institute, Delhi.

Sometimes High Altitude Pulmonary Edema, when blood vessels in the lungs squeeze together, causing fluid to leak into air sacs, can trigger hypoxia (low oxygen saturation) in the blood and even sudden cardiac arrest. This risk goes up in vulnerable people when you are taking a direct flight to Leh instead of taking a road. We don’t know of his heart health except that he was a biker. Low ambient oxygen in hostile terrain can be a trigger for sudden cardiac arrest in anybody with a pre-existing heart disease or underlying condition.

Why then are active young Indians falling prey to cardiac arrest? “That’s because post 40s we seldom do a heart test to understand what condition it is in and whether it can adapt to unaccustomed physical activity or stress of any kind. The death of Pepperfry co-founder Ambareesh Murthy after a sudden cardiac arrest (SCA) raises questions about its increasing occurrence even among fit people as he himself was known to be a tested biker, who had gone all the way up to Leh before.
