The stand-up comedian died from hypertensive cardiovascular disease, Nevada's Clark County Coroner's office tweeted on Wednesday. May died of natural causes.
Our Coroner/Medical Examiner has determined that Ralph May, 45, of Nashville, Tenn., died on Oct. 6, 2017, from Hypertensive Cardiovascular Disease. The manner of his death was natural. We extend our sincere condolences to Mr. May’s family and friends. pic.twitter.com/pLsZmvP8Qw
"We are heartbroken to announce the untimely death of our friend, Ralphie May," the comedian's rep said in a statement to ET at the time. "Ralphie had been battling pneumonia and had canceled a handful of dates over the last month in an effort to recover."
May is survived by his wife, comedian Lahna Turner, and their children, April June and August James.