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Heart attacks, if you mean infarctions, will still be quite rare in 50s, especially in someone who is able to play pickleball. I would also imagine his doctor would be unlikely to have missed signs of coronary artery disease.
I would guess it is more likely that he simply passed out for one reason or another since it was the middle of the night, he had played sports, potentially sleepy dehydrated and maybe even under the influence.
He's had a long history of drug abuse as well though, which can have some pretty bad long term effects.
He could develop toxic cardiomyopathy, but it is not that acute, and while it can in late stages cause dangerous arrhythmias, which some would conflate under “heart attacks”, a cardiomyopathy that advanced would also mean he is out of breath climbing up a flight of stairs, so probably no pickleball.