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Around 2000, Atkins started to develop a heart condition, cardiomyopathy, unrelated to his dietOn April 18, 2002, Atkins suffered a cardiac arrest. He made a recovery and returned to work.
OnApril 8, 2003, Atkins slipped on ice and fell in front of his medical office in New York City and sustained major head injuries that put him in a coma. He never recovered from his injuries, and subsequently died on April 17 of kidney failure. By mistake, the New York City Medical Examiner’s Office released Atkins' medical records to the Physicians Committee for Responsible Medicine, a group associated with PETA and which advocates a vegetarian diet. The record stated his weight to be approximately 255 lb (116 kg) at the time of death. In terms of simple height/weight measure (BMI), this would mean he was obese; the apparent irony of a diet guru being obese caused the information to be circulated around the world by the media and animal rights groups, much to the distress of his family. The Atkins company released a statement claiming that he weighed only 196 lb (89 kg) upon admission to the hospital and that his apparent increase in weight was due to fluid retention following the failure of his major organs. William Leith interviewed him in the period between his cardiac arrest and his fall. Leith writes, "He looks to be just under 6 feet tall and around 200 lbs – not skinny, not thin, but definitely not fat. The jowls around his neck are fairly minimal, signs of age rather than excess weight."

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Cardiomyopathy, which literally means "heart muscle disease", is the deterioration of the function of themyocardium (i.e., the actual heart muscle) for any reason. People with cardiomyopathy are often at risk of arrhythmia and/or sudden cardiac death

Dette viser jo at det faktisk aldri var snakk om et hjerteinfarkt i det heletatt, men rett og slett en hjertestans som kom pga en infeksjon i hjertemusklen