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If you go to the DAN site and download any of their annual fatality reports, you will see that confirmed cardiac events are by far the leading cause of scuba fatalities every year.
A couple of years ago PADI and DAN did a major study of dive accidents, and the results of that study were the impetus of most of the changes PADI made to its OW training standards this year. That study confirmed that the number one cause of death was health-related. It also showed that the number one training related cause of death was a chain of events: drowning preceded by an embolism caused by a rapid ascent to the surface following an OOA emergency. That is why the new PADI standards emphasize awareness of gas levels, maintaining good buddy contact, and dropping weights on the surface to achieve buoyancy.
The DAN reports include a description of all the fatal incidents for which they have that information. In response to a recent thread on this very topic, I went through two years of reports to see how many of the cases had circumstances in which failure to drop weights at depth MAY have been a factor. I say "MAY" because in many of the cases, what actually happened is unclear--the diver was just found drowned under water. In each of those years, there were only a relative handful of cases in which the failure to drop weights at depth MAY have been a factor in the fatality.
I think that Rich's statement has some validity to it, not withstanding the DAN and PADI studies. If heart attack is the leading cause of death in divers, I would venture to say that prior poor health and diving is the leading cause of heart attack's in divers.
I have been closely associated with 4 fatalities while a liveaboard captain. All four were heart attack-induced drownings. My first victim had a heart attack between jumping off the boat and hitting the water. He was dead as soon as he hit the water, or at least he was unresponsive, and was dead when we got him on the boat. My second was a diver who surfaced away from the boat, signaled for a pickup, and died before we could get to him. I was on the roof working on an air conditioner, and watched him the entire time. He was alert and looking around for the 3 or 4 minutes it took to get a divemaster in the dinghy, drive to him, and grab him as he was sinking. The third instance, the diver swallowed the ocean while on the surface waiting for his buddies. We got to him in time and brought him back with CPR. I bought AEDs shortly after. Only the fourth guy had a heart attack at depth, under the supervision of an instructor trainer and instructor candidate. He was in a howling current on a new rebreather.
Common thread? 55 year old (+ 5 years) sedentary white male.