Weeks after she was found dead in the Beverly Hilton Hotel, the official cause of death for pop star Whitney Houston was released by the Los Angeles Coroner's office on Thursday, showing that the singer met her end through drowning, heart disease and drug abuse.
Los Angeles officials said the many drugs in Houston's system and the heart disease may have contributed to the pop star's demise.
"Autopsy results indicate approximately 60 percent narrowing of the artery so the finding... suggests a cardiac event," said Craig Harvey of the L.A. Coroner's Office.
Houston was found dead in her hotel bathtub on February 11. She had a long and public struggle with drug use and the coroner's findings also indicate her fight was far from over.
Toxicology reports show Houston had in her system marijuana, the anti-anxiety drug Xanax, the muscle relaxant Flexeril and the allergy drug Benadryl.
There were also signs of cocaine, which was listed as a contributing factor in her death.
Doctors say drug use is hard on the heart. It is possible it led to the blockage in her artery, but it is unclear if she had a heart attack the day she died.
"We believe that something happened that caused her to go down, and we know that when she slipped under the water she was still alive, we have evidence of drowning," said Harvey. "So there was water in the lungs, so that substantiates that finding."
Her family and fans were saddened by the report.
"I am really sad to hear it was drug-related. I was hoping it wasn't," said one New York fan.
"It's horrible when people are put into the position that every bit of their suffering is broadcast to the world," said another.
The L.A. Coroner's report concludes that Houston's death was accidental, and the Los Angeles Police Department agrees there was no evidence of any wrongdoing.