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New developments -- the death of actor James Gandolfini we are awaiting the autopsy results this hour after he collapsed at a hotel room in Rome yesterday.
Doctors confirmed that the star of the hit HBO show The Sopranos died after a heart attack.
While on vacation with his family he was just 51.
His sudden death comes less than a day after the untimely passing of author Vince Flynn he died of prostate cancer early Wednesday at just age 47.
These to death shining the spotlight in some silent killers that come with.
Some warning signs that are in some cases tough to detect.
Joining me now doctor -- a body he's a professor of -- on our fox is medically team.
Doctor Stephen Liesman is a cardiologist and the founder of the New York cardiac diagnostic center.
An Allen can -- office with us Tim he's the executive producer of the show you know and -- here at Fox News Channel America's Newsroom with -- Martha.
And it just the age of 37.
He recently had.
A heart attack of his own.
Which is just so scary and so if you like America's Newsroom this is -- genius behind it the genius behind the geniuses -- and Martha.
And we appreciate being here to talk my personal experience we all love you were shocked when he at just 37 had a heart attack.
And -- somebody gets you 12 so wants our doctor reasoning on James Gandolfini.
51 years old.
Massive heart attack what would be -- this because they say he was alive in the ambulance and died at the hospital.
Frequently the first sign of heart disease can be a massive heart attack.
Gandolfini appear to be obese that's a major risk factor for heart disease it increases your risk of fatal heart attacks 60%.
The other respect as we look for smoking -- look at the -- diabetes.
Hypertension is and and -- history of heart disease.
I don't know is his medical history but certainly these can all be factors and something like this in the other important thing is.
Between a 550000.
People United States -- suddenly.
Every year of a heart attack or electrical arrhythmia so it's not that uncommon it's a big big.
Health care issue in the united how do you know if you're having a heart attack.
Well frequently a heart attack has symptoms but can also be asymptomatic the most frequent symptoms of chest pressure having this in the chest can be indigestion can be severe shortness of breath.
With nausea sweating it can be silent you can all of a sudden feel faint -- dizzy so.
If you need to get checked early on even if you don't have symptoms.
Alan let me take -- -- 37 years old you told me before he had a family history of it.
You were smoker but he said he thought -- had -- forty.
To sort of get yourself together -- act together and you learn the hard way that wasn't true -- what was the symptoms you started to feel a couple days before the actual event I've felt having this in my chest.
And I didn't like you said -- about my family history.
Would always put it off and I thought this was just kind of again something that I would get passed in and eventually get on that diet and usually a cardiologist.
-- him general practitioner who warned me about all this stuff but again -- -- -- -- time the night of the actual event because -- said -- didn't actually have the heart attack I think -- -- -- -- in the in the M answer at the hospital -- I had it in my living room and you did yes absolutely I -- so -- how did it go from sort of I don't feel well to.
Allow I got up Miami I would.
-- we were gonna drive to the hospital my wife one in me to call 91 we were gonna drive.
I got up tried my shoes on and felt that kind of thinking feeling and my wife's -- and -- were calmer and why was it a crushing feeling what was it.
Like an elephant sitting on my chest.
All the way down my shoulders and my jaw it's hard to speak even while it was it it felt that that now what about any plans to -- About this too because like they were talking about having defibrillators in their hat in their houses and if you get this.
Weird irregular heartbeat what is it it could be the fifth ventricular fibrillation really attack occurring and what Libya warning of going into V fib.
You know these type of defibrillators from -- to have -- public spaces where people know how to use them in an individual's house.
We think the only reasons really have a doozy of a history of heart disease and somebody who knows how to use a defibrillator.
You know because there is a certain method and process of how to use it.
Sudden cardiac death is is pretty common as I mentioned so.
More important thing is to get checked out early to get stressed tested to get scans to get ultrasound testing and see what -- your -- Let me ask -- I mean make this personal but I've lost my own -- a heart attack at age 45.
And he didn't have any warning signs mean there was you know he was a smoker he was slightly overweight and didn't exercising in the mean his irishman but.
In this is back in 1985.
The medicine is -- them but what but he had.
Not long before that so.
What is the test out there that can tell us -- Actually the EKG only show something after -- been damaged.
We introduced a new test and our office been around for about two or three is -- -- -- -- test it's a test that looks at the blood vessel whining and what's it and they'll feel real dysfunction.
I think it's a very exciting new developments in the early prediction of who's at risk to develop plaque in the blood vessels but certainly if somebody's a smoker.
If they have other respect position on the -- -- cardiac evaluation including stress testing.
And ultrasound testing on him blood testing so if you get checked fairly frequently we could find what your risk level is there's many different has to do when it depends on the individual -- we do and as.
Smoking's really bad and drugs are bad in -- -- -- that you've got.
I have but but he frequently and in younger her patients and you can find that their their drugs involved with we don't know that's just any match and in the -- -- -- even when we talking about -- prostate cancer 47.
United -- -- to get screened for prostate cancer until fifty or 55.
Right and -- that's part of the problem then.
We see a lot of these young guys that go under the radar and they come over this kind of prostate cancer now.
Did they put the perception or prostate cancer is and everyone has presented it as this is slow growing disease.
You're gonna die within not from it and we see that it's not always a case about 30000 men die from -- -- cancer.
So want people to know that there are many different type of prosecutors have some more slow growing -- more moderate and someone very aggressive.
What do you lets you down here 45 year old guy or forty year old guy and name your -- -- And you know united that you get checked for this officially now until 55 years old.
Well I think that's that's a little bit they're dangerous and I know that -- -- neurological association said this here.
Go with 55 but you have to understand that they take a lot of things in consideration they're talking about a mass screening there are a lot of financial issues behind this.
For a lot of people that have high risk they should get -- based screening a PSA.
Based on at the age of forty -- -- -- -- -- didn't concern at 45 every year after that it's a simple blood test we know that it's not prostate cancer specific.
But his prostate specific -- things such as inflammation in large prostate and crossing cancer can give you -- high level.
Well what -- what would be the first sign of prostate cancer for especially for younger man you know who.
Darn expecting to find this completely the same way as as president heart attack silent killer no symptoms whatsoever a lot of men that come from my office.
The question why am I even here because there -- no symptoms and that's why screening Weathers full heart or screening for prostate cancer is extremely vital.
You look at the trend of the PSA and see how fast and how the velocity.
Over the years are gonna go up.
-- my tolerance for biopsy.
His -- -- -- see that the Peterson is really taking your job I rather know what's going -- we had taken -- just like what about events because he he was 47 you're going to -- diagnosed -- stage three prostate cancer which is not good.
But it's not that.
The worst you can get right I think -- younger -- like this should get surgery and the reason is because number one you get the cancer out.
You always can get radiation after surgery but if we really -- him as it happens over here.
You can't do surgery after radiation it's very is that right so if somebody exactly right so this is very important and a lot of people don't know 47 year old.
Who has many decades ahead of him.
Get the cancer out number one UPS after surgery should always be zero -- so you will know exactly where your enduring -- Cancer comes back UPS it will change I still want to have a plan B.
For somewhere that CO.
And I don't know what his situation was but it it obviously men have -- -- -- -- performance concerns when anything with the prostate it's diagnosed is there.
Is that is that not an issue with radiation and it is an issue.
-- surgery on both of them they have this side effects it depends on when it happens with surgery in the hands of experienced -- is your confidence has sexual function and we returned.
You pay the price -- the beginning but as time goes on -- quality of life with sexual function of confidence improve after surgery.
We do radiation at the beginning you may not have any symptoms but as time goes on both side effects will keep him -- -- -- -- baseline test at forty see where you are take it from there.
And pay attention you can you can have this test that you said that didn't do most cardiologists do this is relatively new test went what is that they need to ask for Indo -- in GOP AT it's actually on our web -- video showing what it is and it's one of the tests we now used -- screening Jack thank you both so much and honey we're glad you're okay thank you so thanks -- Ghana and kind of.
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