The cause of Pope Francis’ death was a stroke that led to a coma and “irreversible heart failure,” the Vatican said.

The Holy See press office on Monday released a declaration of death report from a Vatican City medical official that outlined Francis’ medical history.

The notice said the pontiff had previously suffered acute respiratory failure caused by multimicrobial bilateral pneumonia, multiple bronchiectases, high blood pressure and Type II diabetes.

The leader of the Roman Catholic Church died Monday at age 88.

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