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.

Betsy Arakawa, the concert pianist who was married to actor Gene Hackman, died from hantavirus pulmonary syndrome, according to an autopsy report released Tuesday that said that her lungs were heavy and congested.

Hackman was also in the advanced stages of Alzheimer's disease and likely had not eaten for a long time, according to the new report. The actor, 95, had been in poor health for some time.