Your question raises many ethical, diagnostic, institutional, multi-professional team-type issues that cannot be really answered without a full investigation. Condolences seem due.

that's what was happens,,,,,,, thanks for your condolences Stephen David Edwards

Please download the Grammarly application to your computer. It will help you learn how to write meaningfully. I have no idea what you are asking

First of all , indentify the type of MI ,either it is STEMI or NSTEMI . STEMI is major concern , can be fatal if not diagnosed immediately and get the treatment started as soon as possible. Clinical presentation along with ECG is cornerstone for diagnosing MI . Serial ECG may unmask the myocardial hidden ongoing injury . serum Troponin level ( troponin T or I) is also most important cardiac marker to detect myocardial necrosis .it usually detected 6-8 Hr after the MI . Even we have to look for reciprocal lead ECG change in Non ST segment elevation to prevent catastrophe .

If Serial ECG ,Serum.troponin level at 72 Hr along with clinical are not significant then you can prescribe Aspirin ,definitely will .give benefit.

Hello Kaled Nather Taha

My initial thought is: has consideration given to another cause of death?

When people have MI, they may often be quite unwell for lots of other reasons. They are made more unwell by MI then made even worse by another reason on top of that.

My experience is that these patients might be acutely exacerbated by other events - such as, for example, a pulmonary embolism.

Not all Acute MI leads to Death It's depends on type of MI , either it is STEMI or NSTEMI. STEMI along with comorbities like DM, HTN or Previous H/o MI Carry bad prognosis if not Promptly at Right Time either in the form of PCI or Thrombolytic therapy. Age is independent risk factor .

Death within 48 hours of the onset of chest pain in a 72-year-old man.

It was unfortunate that a 72-year-old man with chest pain died within 48 hours of developing chest pain. At this age, chest pain should be considered to be due to acute coronary syndrome (ACS), which comprises STEMI, NSTEMI, and unstable angina.

Cardiac death within 48 hours is usually due to fatal ventricular arrhythmia most likely due to acute myocardial infarction resulting STEMI, although it could also occur due to cardiac rupture, cardiogenic shock due to large infarction, acquired VSD, or acute mitral regurgitation. Most likely the index patient had first chest pain

(without ischemic reconditioning) due to hitherto silent ischemic heart disease. We do not know about any risk factors (smoking, diabetes, hypertension, and dyslipidemia) or past history of ischemic heart disease.

This question, in desperate need of Grammarly, lacks so much information that it is absurd to think anyone would actually try to answer it.

Yes Yousuf Sir It's seems either he experienced massive MI or medical facilities might not be available during Golden Hour