LAS VEGAS >> Medical examiners in Las Vegas have determined that comic Ralphie May’s death was from high blood pressure and heart disease.

Clark County Coroner John Fudenberg said today the round-faced comedian whose body was found Oct. 6 at a home in Las Vegas died of heart failure due to hypertensive cardiovascular disease.

The death was ruled natural.

May was 45 and had a wife and two children in Nashville, Tennessee.

He was raised in Arkansas and went from a second-place finish on TV’s “Last Comic Standing” in 2003 to television and club appearances.

His publicist said following his death that he’d been fighting pneumonia, which caused the cancellation of several appearances that had been slated to go through the end of the year at Harrah’s Las Vegas hotel-casino.