The cause of death of comedian Ralphie May has been released – high blood pressure and heart disease.


Clark County coroner John Fudenberg shared that the pudgy comic, who was dead on Oct. 6, died of heart failure due to hypertensive cardiovascular disease. The death was ruled natural. May’s weight was the greatest contributor to his poor health, as he had been morbidly obese for a long time.

Just a week before his death, May posted a photo of himself at Hugh Baby’s BBQ & Burger Shop, surrounded by a lot of food.

May was 45 and shared two children with his wife and lived in Nashville, Tennessee. In 2003, the comedian finished in second place on NBC’s Last Comic Standing. From there, he went on to do many club appearances and made a name for himself.

His publicist said after his death that May had been fighting pneumonia, which caused him to cancel several appearances. He was slated to perform through the end of the year at Harrah’s Las Vegas hotel-casino.

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