Ralphie May died from heart disease and high blood pressure as coroner rules 45-year-old comic's death was from natural causes

  • Comic had been battling pneumonia for six weeks before his death in October
  • After cancelling some gigs, he performed for the final time at Harrah's in Las Vegas on Thursday night 
  • Father-of-two first shot to fame on Last Comic Standing in the early 2000s
  • Coroner said comic's weight was a contributing factor in his death

Comedian Ralphie May died of natural causes, a coroner has ruled.

The 45-year-old comedian, who passed away in Las Vegas in October, suffered from heart disease and high blood pressure, TMZ reported Wednesday.

Clark County Coroner John Fudenberg told the website the official cause of death was hypertensive cardiovascular disease and that May's weight was a contributing factor in his death.

 Talent: The Inside Amy Schumer star passed away in Las Vegas, Nevada, on October 6 at the age of 45, just hours after coming off stage at Harrah's (pictured April 2015)

Natural causes: A coroner has ruled comedian Ralphie May, 45, who passed away in October, died from heart disease and high blood pressure. He's pictured in April 2015

Neither drugs nor alcohol were factors in his death.  

May was found dead at a private residence just hours after performing on stage at Harrah's in Vegas.

The comedian, known for his television appearances on Inside Amy Schumer, had been battling pneumonia for six weeks. 

He was in the midst of a nationwide tour, but had been forced to cancel some dates while he attempted to recover from his illness.

Popular: May, who was seen on Inside Amy Schumer last year, was found dead hours after performing on stage at Harrah's in Las Vegas

Popular: May, who was seen on Inside Amy Schumer last year, was found dead hours after performing on stage at Harrah's in Las Vegas

Two days before his death, May was crowned Casino Comedian Of The Year at the Global Gaming Expo in Vegas. 

His manager, Judi Marmel, told TMZ: 'As his manager and his friend, I will miss his laugh, his generosity to fellow comedians, his trademark orneriness, and his enormous love of life. 

'He left us entirely too soon -- and we can only wonder where his comedy might have taken all of us. We send our love to his family, his fans, and all the comics who shared stages with him across the country.'  

May is survived by by his wife, Lahna Turner, and their daughter April June and son August James.

Lahna filed for divorce in 2015 after the couple had been married for ten years.

The last picture: Coroner John Fudenberg had ruled May's official cause of death was hypertensive cardiovascular disease and that his weight was a contributing factor in his death

The last picture: May seen in an Instagram post from his page posted a couple of days before his death. His weight was a contributing factor, the coroner stated