A new report has shed light on the health issues Pac reportedly faced before his death, with a critical care physician describing the circumstances as “very sad and rare.”

AEW announced on September 27, 2026, that Pac, formerly known as Neville in WWE, had died aged 40. He was found inside a rental car in a Chicago-area parking lot less than 24 hours after All Out.

According to Dave Meltzer of F4WOnline.com, Pac had a history of lung problems and blood clots that affected how he managed his travel schedule. While Will Ospreay regularly flies between England and the United States, Pac reportedly limited his flights by spending longer periods in America before returning to the United Kingdom for several weeks.

Meltzer also highlighted Pac’s demanding fitness routine, which included weightlifting and cardio, as he reflected on the shock of his reported death from bronchial asthma.

Dr. Alex Patel, a Toronto-based critical care physician, offered Meltzer some medical context. He explained that fatal asthma attacks typically involve people with previous asthma-related hospital admissions, although the report did not establish whether Pac had that history.

Discussing Pac’s blood clot issues in 2023, Patel said long-haul air travel is a recognised risk factor for pulmonary embolisms. He outlined precautions that can reduce that risk, including movement during flights, compression stockings and, in certain cases, prescribed blood thinners.

Patel also raised the possibility that previous blood clots could have affected Pac’s heart and increased the risk of complications during a severe asthma attack. However, he stressed that this could not be determined without information about Pac’s heart function.

“If you do have underlying blood clots, they can affect the right side of your heart. There is some link between severe asthma attacks, and death, occurring more in people who have underlying heart issues so certainly if the right side of his heart was affected, it could lead them at higher risk for asthmatic complications. Difficult to know, though without a heart or echo report on what his underlying heart function was, and if it was affected by the pulmonary embolism.”

Patel described the circumstances as extremely rare. He suggested that the speed of the attack may have left little opportunity for medical intervention and that immediate access to doctors, such as those present at a wrestling event, might have made a difference. Those comments represent possible explanations rather than confirmed findings about Pac’s case.