Jonny’s cardiomyopathy
CPR, Heartbeat
This is a custom script and some changes have been made in the final product.
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Scene 1: Cardiac incident in the gym
Jonny is in a gym working out in a white tank top, lifting weights and doing biceps curls. He suddenly feels tightness in his chest and collapses on the floor. Dr Smith, who happens to be in the gym, rushes over, cuts Jonny’s tank top open, and begins CPR with mouth-to-mouth breaths. He then places AED pads on Jonny’s muscular chest and delivers a shock. There is no response. Dr Smith continues resuscitation through six shock cycles.
CAMERA: During the shocks and CPR cycles, keep a clear view of Jonny’s body and chest—ideally top-down or isometric view—so the audience can see the compressions, pad placement, and Jonny’s body arched and jolted.
After the sixth shock cycle, Jonny suddenly starts breathing again, and Dr Smith finds a weak pulse.
Scene 2: Consultation and resting cardiac check-up
Jonny is in hospital with Dr Smith, a consultant cardiologist, after his cardiac arrest incident at the gym. Dr Smith explains that Jonny’s heart muscle is very thick, which is called hypertrophic cardiomyopathy. He asks whether Drew uses steroids. jonny says no. Dr Smith warns that Jonny’s heart is struggling and that he is at very high risk of another cardiac arrest. He wants to assess Jonny’s heart at rest and then with a stress test.
Dr Smith asks Jonny to take off his shirt, revealing his muscular torso. Dr Smith listens to Jonny’s heart in multiple locations across his chest.
RECORD (for the audience): Dr Smith records Jonny’s strong resting heartbeat clearly. He also listens to Jonny’s breathing and records Jonny’s deep breathing sounds while using the stethoscope.
Scene 3: Cardiac stress test
Jonny steps onto a treadmill with ECG leads placed across his chest. Dr Smith instructs him to run until he can no longer continue. At each stage, Dr Smith increases the speed and incline and records Jonny’s heartbeat.
Stage 1: Low speed, incline 5 → Dr Smith records Jonny’s heartbeat.
Stage 2: Medium speed, incline 5 → Dr Smith records again.
Stage 3: Incline 10 → Dr Smith records again.
Stage 4: Incline 15 → Jonny starts sweating; Dr Smith records again as the rate increases.
Stage 5: Incline 18 + speed up one notch → Jonny’s breathing becomes laboured and sweat drips heavily. Dr Smith asks Jonny to hold this pace for 2 minutes.
CAMERA: During the final stage, the camera slowly moves toward Jonny while he runs, sweats, and struggles to maintain pace.
Jonny completes the final round. During recovery, Dr Smith records Jonny’s strong, very fast heartbeat continuously for a full minute, until he begins to settle.
Dr Smith tells Jonny that, despite the cardiomyopathy diagnosis, his heart tolerated the stress test well enough that he can continue working out—however, Dr Smith wants to keep him under observation.
Scene 4: Jonny ignores the warning
Jonny convinces himself he is fine and decides he can still use a steroid injection. He wants to get bigger for an upcoming competition. In his hospital room, he does a few push-ups and prepares to take the “stimulus.”
Dr Smith walks in and catches him.
Dr Smith: “What are you doing? Is that steroid?”
Jonny: “No… it’s just a booster.”
Dr Smith: “You’re not supposed to do that. Your heart isn’t as strong as you think.”
Jonny: “I have a bodybuilding competition next month. I’m strong. My heart is strong.”
Suddenly Jonny feels a sharp pain in his left arm and in the centre of his chest. He collapses to the floor.
Scene 5: Resuscitation in the hospital
Dr Smith cuts Jonny’s shirt open and starts deep chest compressions. He gives mouth-to-mouth breaths and applies AED pads to Jonny’s chest. Jonny receives a shock at 100 joules, but there is no response. Dr Smith continues resuscitation and delivers further shocks:
150 J → no response
200 J → no response
300 J → no response
360 J → no response
400 J (maximum) → no response
Dr Smith refuses to give up. Jonny has now received six shocks. Dr Smith decides to attempt dual defibrillation, using AED pads and defibrillator paddles. Jonny’s body arches for about five seconds during the shock. Still no response.
Dr Smith tries dual defibrillation one more time. Suddenly, he feels a pulse. Jonny starts breathing again. Dr Smith places his stethoscope on Jonny’s chest and records Jonny’s heartbeat one more time.
CAMERA: For the shocks and compressions, maintain a clear, unobstructed view of Jonny’s chest—ideally top-down or isometric—to show pad placement, compressions, and when Jonny’s body is arching during defibrillation.
