BREAKING NEWS Michael Madsen autopsy report reveals painful condition actor suffered before shock death aged 67
The Kill Bill star was found 'unresponsive' at his Malibu home on July 3. Madsen was later pronounced dead at the home.
Madsen's manager previously claimed that Madsen had died from 'cardiac arrest', with the star's official death certificate revealing this was brought on by cardiomyopathy, coronary artery disease, and chronic alcoholism.
The certificate from the L.A. County Medical Examiner confirms Madsen's body has since been cremated, per TMZ.
Coronary artery disease is a condition that causes the arteries that supply blood to the heart to become narrowed or blocked - restricting blood flow to the heart muscle and leading to oxygen deprivation and damage.
This disease is the most common type of heart disease and affects one in 20 Americans above the age of 20.
It usually develops due to a buildup of plaque (fatty deposits and cholesterol) on the inner walls of the coronary arteries and can cause mild discomfort to severe pressure or squeezing in the chest, which may radiate to the arms, neck, jaw, or back.
Cardiomyopathy is a disease of the heart muscle that affects its size, shape and structure. It affects the heart's ability to pump blood around the body efficiently and can also impact the way electrical signals make the organ beat.
Earlier this month Madsen's cardiologist revealed his official cause of death to be heart failure with heart disease and alcoholism named as contributing factors, per NBC LA.
The Los Angeles Sheriff's Department considers the case closed with no foul play indicated. The death is listed as from natural causes.
Madsen's lawyer said the actor - known for his roles in Quentin Tarantino's Reservoir Dogs and Kill Bill - was battling an alcohol addiction before he tragically died.
Hours after his death, DailyMail.com obtained photos of Madsen's heartbroken family — including his estranged wife DeAnna — gathering outside his house.
A man who looked to be Madsen's son Max, 31, consoled DeAnna while standing in the home's driveway as more family members arrived.
Madsen's eldest son Christian, 35, and his youngest son Luke, 19, also appeared to be at the scene.
A frequent collaborator of Quentin Tarantino, Madsen starred in films including 1993's Reservoir Dogs (left) and 2003's Kill Bill (right)
A statement from the star's representatives to DailyMail.com read: 'In the last two years Michael Madsen has been doing some incredible work with independent film including upcoming feature films Resurrection Road, Concessions and Cookbook for Southern Housewives, and was really looking forward to this next chapter in his life.
'Madsen was also preparing to release a new book called Tears For My Father: Outlaw Thoughts and Poems.
'Michael Madsen was one of Hollywood's most iconic actors, who will be missed by many.'
Madsen was best known for his frequent collaborations with director Quentin Tarantino, starring in Reservoir Dogs (1992), Kill Bill: Volume 2 (2004), The Hateful Eight (2015), and Once Upon a Time in Hollywood (2019).
He also starred in 1997's Donnie Brasco as Sonny Black.
Madsen is survived by his five children, estranged wife DeAnna and his actress sister Virginia Madsen.
His son Hudson died by suicide in 2022 aged 26.
Perry Wander, who has represented the star for 20 years, said the Kill Bill icon had 'many struggles'.
'I just spoke to Michael two days ago,' Wander told Daily Mail, admitting that 'I knew he was not well.'
'Michael was suffering from the effects of alcoholism. He had multiple stints in and out of rehab. He struggled to maintain his sobriety. He was not happy about his life.'
Madsen was also facing a crippling legal battle with his estranged wife, which saw the pair fighting over child support and other finances, his lawyer claimed.
'I blame her for putting in the screws over his last years of life,' Wander said, alleging the legal battle, which saw his passport be 'maliciously revoked', impacted his ability to travel and work abroad.
'Michael lived a life of regrets - those regrets being his two marriages,' he added.
He was first wed to Georganne LaPiere, half-sister of singer and actress Cher from 1984-1988.
He welcomed a daughter named Jessica with Dana Mechling.
He was married to Jeannine Bisignano from 1991 to 1995. They have two sons, Christian and Max.
In 1996, he married DeAnna. Together they had three sons, Luke, Kalvin and Hudson.
His death comes 11 months after his domestic violence case - where he was accused of shoving wife DeAnna - was dismissed due to 'insufficient evidence.'
Days later in a statement to THR, Madsen's lawyer Perry Wander insisted that his client was 'not guilty of domestic violence.'
A representative for the star confirmed the incident saying: 'It was a disagreement between Michael and his wife, which we hope resolves positively for them both.'
Madsen filed for divorce from DeAnna in September 2024 - and in court papers obtained by DailyMail.com, he accused his estranged wife of driving their son to die by suicide 'by her neglect, drinking and alcoholism.'
A month later, he issued a regretful Instagram statement apologizing for his claims and denying he had wanted to end their marriage.
He said: 'Losing a child is the hardest and most painful experience that can happen in this world. I deeply apologize for not correcting this earlier but I love my wife and our other 4 children and have no desire for divorce or blame.
'She had absolutely nothing to do with what happened to our son. It was a horrible loss and choice that was made for reasons that truly cannot ever be known because the person is gone, I don't think my son is dead , I think he escaped from a life that didn't make sense anymore.'
It wasn't Madsen's first brush with the law. In 2022 the Hollywood actor was arrested for trespassing at a luxury house from which he was evicted, DailyMail.com reported.
It was a $5.3 million Malibu mansion just across the Pacific Coast Highway from La Costa Beach.
A source exclusively told DailyMail.com at the time: 'Michael had been living at the house since last year, but the lease was in another person's name.'
The house was leased out by another person and several thousand dollars were owed in back rent, DailyMail.com has learned.
His arrest came just a month after his son, US Army Sgt. Hudson Madsen shot himself dead on the Hawaiian island of Oahu, where he was stationed with the 25th Infantry Division. Hudson was an Afghan war vet.
Hudson's death came a week after his wife Carlie underwent surgery to remove a tumor from her breast.
'I am in shock as my son, whom I just spoke with a few days ago, said he was happy - my last text from him was 'I love you dad,'' he told the Los Angeles Times.
'I didn't see any signs of depression. It's so tragic and sad. I'm just trying to make sense of everything and understand what happened.'
Madsen said his son's marriage was 'going strong' and he had recently completed his first tour in the U.S. Army.
'He had typical life challenges that people have with finances, but he wanted a family. He was looking towards his future, so its mind-blowing. I just can't grasp what happened.'
Madsen has requested a full military investigation into his son's death. The actor thinks 'the officers and rank and file were shaming' Hudson for wanting therapy. He believes this stopped him from seeking help for mental health issues he had been keeping to himself.
In 2019, the actor was axed from a $100,000 role in movie Confessions of a Serial Killer after crashing his Land Rover into a pole and subsequently being arrested for DUI. He was later sentenced to four days in jail.
In 2012 he was also arrested for DUI after driving erratically but struck a plea deal that involved attending AA meetings in lieu of more severe punishment.
However, after Madsen failed to attend his court ordered Alcoholics Anonymous meetings his probation was revoked.
That same year he was arrested at his Malibu home after allegedly getting into a physical fight with his son after catching him smoking marijuana.
The actor was being held in jail on $100,000 bail after being charged with child endangerment with cruelty to a child: a felony charge, which means it is considered a crime of high seriousness. He did not face any charges after his arrest for suspected child endangerment.
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