Rich Piana Cause of Death

Rich Piana died on August 25, at the age of 46.

An autopsy revealed “significant heart disease” and that his heart and liver weighed over twice the average amount of an adult male.

Piana collapsed and spent two weeks in a coma before dying.

His partner, Jansen said Piana was well aware that his organs were enlarged, and that this was a known side effect of the steroids and hormones he had been taking, but said he was not aware that this put him at risk for a sudden cardiac arrest.

The autopsy was ultimately inconclusive on the cause and manner of death.