doctors suspect the man, who had no obvious risk factors beyond smoking and consuming an insane amount of caffeine, may have experienced an energy-drink induced blood clot that reduced the flow of blood to his heart and caused the attack. they did not rule out his nicotine habit, however, acknowledging that smoking could also have restricted his coronary artery.
“since it is just one case, it is always very hard to know exactly what the cause is,” cautioned robert ostfeld, a cardiologist and director of the cardiac wellness program at new york’s montefiore medical center. “it is certainly possible (the heart attack) was related to the energy drink intake but we could never know that for sure from a single case.”
ostfeld, who was not involved in treating the patient, said that although it is hard to prove the attack was evidence of causation and not correlation, he was familiar with other cases connecting heart attacks and temporary heart palpitations to energy drinks. “it is hard to argue that (energy drinks) are healthy,” he said at the time, adding more research was needed to determine if energy drinks make blood more likely to clot.
more recent studies have attempted to do just that and concluded that even one energy drink “notably diminished” the blood vessel function of otherwise healthy, young adults.