UPDATE Ray MacDonald had three narrowed coronary arteries Thai-Scottish actor and television presenter Ray MacDonald had narrowing in three coronary arteries which led to myocardial ischaemia, according to his close friend Leo Putt. Leo spoke at Bangkok's Institute of Forensic Medicine on August 20, one day after MacDonald died at his home in the capital. He was 49. The singer and actor said he had noticed his friend becoming tired easily, particularly while they were doing activities together. At the time, Leo said he had assumed MacDonald may simply not have been getting enough rest. Friend recalls concerns over fatigue Leo said he had previously urged MacDonald to have a medical check-up after undergoing one himself. He described MacDonald as reluctant to seek medical care and said his friend did not like visiting doctors. He also said MacDonald had not consumed alcohol for almost 30 years. Leo said there was no reason to hide the matter and that he would have said so if alcohol had been involved. Leo described the group around MacDonald as being close like a family and said they would continue to support each other following his death. Symptoms can be mistaken for reflux Speaking of his own experience, Leo said discomfort or tightness around the upper abdomen could be confused with acid reflux, despite potentially being a sign of coronary artery narrowing. "Ray probably had warning signs too. From my own experience, I had signs as well. It felt like tightness around the upper abdomen and slightly above it," he said. "A lot of people who experience this can get confused and assume it's just acid reflux. From this case, I want to warn anyone with these symptoms to consider first that it could be narrowed coronary arteries." Leo said doctors had explained that severe myocardial ischaemia can cause someone to lose consciousness and die. In some cases, he said, patients may not experience the pain or suffering commonly associated with such an event. 20 August 2026
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