Taking away Trips powerplay during the 2000's, and really his HGH usage, I have never known Trips to be a guy who does drugs or rarely even drinks; he has always been one of those bodybuilders who always wants develop his muscles through proper diet.
So hearing about this heart issue is shocking to me, because Nash, aside from wear and tear... or Shawn Michaels, they really haven't had any internal health issues.
Remember how HHH looked in the mid 00s when he was getting Stephanie pregnant? And how he looked again when she was done having kids?