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If the increase in agitation from being restrained led to a heart attack you might be in trouble. The second scenario you state correctly trouble. Only police can get away with that in the name of restraint (have seen coroner cases clear police where restraint arguably excessive as it was a fluid emergency situation)
It is for the reasons of asphyxia that in the prisons, you aren't allowed to cuff someone's hands behind their back, they have to be done in front (so it's easier for them to bash you)