Long Island pizzeria owner Vittorio Caruso, the 10th American to die in the Dominican Republic, died of respiratory and heart failure according to a new report.
The preliminary autopsy report was published by the country's law firm CNN reported.
Caruso from Glen Cove had lived in the city of Boca Chica for several years, prosecutors said.
On June 11, the 56-year-old coughed and felt short of breath, so he went to the doctor and was treated and released, his partner Yomaira Ramirez de Jesus told prosecutors.
A week later, Caruso called her again and complained of breathing problems and chest pain. He received medical care at home before being transferred to a Santo Domingo hospital.
Caruso suffered cardiorespiratory arrest and died.
AG's office said Caruso had been fighting hypertension for nine years and had a long history of chronic obstructive pulmonary disease. He drew and smoked according to the autopsy results.
The autopsy discovered both new and previous heart attacks.
Family told Posten that Caruso, owned by Vittorio's pizzeria in Glen Oak, before selling the business two months ago, had a timeshare apartment in the DR.
Caruso's passing on June 1