Gene Hackman and wife Betsy Arakawa's final autopsy reveals new health details about the actor, two months after the couple's death.

PEOPLE obtained a final autopsy report regarding Gene Hackman and his wife Betsy's February deaths on Sunday, April 27. New Mexico's Office of the Medical Investigator ruled on Feb. 27 that Gene died of hypertensive and atherosclerotic cardiovascular disease,

Given the actor’s “advanced state” of Alzheimer’s disease, “it’s quite possible” that Hackman didn’t realize his wife had died in the days before his own death, says the New Mexico chief medical examiner.