SANTA FE, N.M. (AP) — The main cause of Gene Hackman’s death was heart disease, but he was also in the advanced stages of Alzheimer’s disease and likely had not eaten for a long time, according to a new autopsy report.

The report documents the 95-year-old actor’s poor heart health, noting he had experienced congestive heart failure, an aortic valve replacement and an irregular heart beat. He was given a pacemaker in April 2019.

Hackman’s carbon monoxide concentration was less than 5% saturation, which is within the normal range. He tested negative for the hantavirus, which is a rare but

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