Gene Hackman had advanced Alzheimer’s and severe heart disease at time of death: ‘In very poor health’

Gene Hackman “was in very poor health” before his death, which was caused by heart problems and advanced Alzheimer’s disease, officials revealed on Friday.

New Mexico Chief Medical Examiner Heather Jarrell shared the details of Hackman’s health in his final days at a press conference in Santa Fe alongside Sheriff Adan Mendoza.

According to Jarrell, the Oscar-winning actor died roughly a week after his wife, Betsy Arakawa, from hypertensive and atherosclerotic cardiovascular disease and Alzheimer’s.

“Examination of the brain showed advanced Alzheimer’s disease as well as blood vessel changes in the brain,” the doctor said.

Betsy Arakawa and Gene Hackman during 65th Annual Academy Awards at Shrine Auditorium in Los Angeles, California, United States.
Betsy Arakawa and Gene Hackman during 65th Annual Academy Awards at Shrine Auditorium in Los Angeles, California, United States. Ron Galella Collection via Getty Images

“It is reasonable to conclude that Mr. Hackman died on February 18,” Jerrell continued, based on evidence of a “cardiac event” recorded by his pacemaker.

The medical examiner added that the autopsy and fully body post mortem CT examination carried out on Hackman’s body showed the actor had “severe heart disease,” a history heart attacks, severe changes of the kidneys due to chronic high Blood Pressure,” and had undergone “multiple surgical procedures involving the heart.”

However, there was no evidence of “internal or external trauma.”

The “French Connection” star “had not eaten recently” before passing away as there was “no food in his stomach,” Jerrell said at the press conference, though she shared that the actor’s body showed no “evidence of dehydration.”

New Mexico Chief Medical Examiner Heather Jarrell shared the details of Hackman's health in his final days at a press conference in Santa Fe alongside. Santa Fe Sherif Adan Mendoza.
New Mexico Chief Medical Examiner Heather Jarrell shared the details of Hackman’s health in his final days at a press conference in Santa Fe alongside. Santa Fe Sherif Adan Mendoza. Santa Fe County Sheriff

Though there had been speculation that both Hackman and Arakawa died from carbon monoxide poisoning, testing indicated neither had the poisonous gas in their systems at the time of their deaths.

Jerrell also said,”There were no other significant natural disease findings,” and that pills found near Arakawa’s body were a thyroid medication.

Hackman was 95.

Officials said Arakawa, 65, died from Hantavirus, a flu-like illness spread mainly by rodent feces and is not spread from person to person, according to the CDC.

Security camera footage showed Arakawa, a classical pianist, shopping at a local Sprouts Farmers Market on Feb. 11 before later entering the gated community where she and Hackman lived.

“Numerous emails were unopened on her computer on February 11,” Sheriff Mendoza said. “There was no additional outgoing communication from her or known activity after February 11, 2025,” he added, noting that it’s reasonable to assume that was the day she died.

The Sheriff also acknowledged that Hackman was likely home with his wife for a week before he passed away.

Citing Hackman’s Alzheimers, Jerrell noted, “it is quite possible he was not aware that she was deceased.”

Both deaths were from natural causes.

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