Mays was found unresponsive by his wife in his Tampa, Florida home on the morning of June 28, 2009. He was pronounced dead at 7:45 am, appearing to have died sometime overnight. After an initial autopsy on Mays's body on June 29, Dr. Vernard Adams, the Hillsborough County, Florida medical examiner, stated that Mays suffered from hypertensive heart disease and that heart disease was the likely cause of his death. According to a toxicology report released August 7, 2009, heart disease was the "primary cause of death" and cocaine was listed as a "contributory cause of death." The medical examiner "concluded that cocaine use caused or contributed to the development of his heart disease, and thereby contributed to his death," the office said in a press release. The office said Mays last used cocaine in the few days before his death but was not under the influence of the drug when he died. Hillsborough County spokeswoman Lori Hudson said nothing in the toxicology report indicated the frequency of Mays's cocaine use. Cocaine can raise the arterial blood pressure, directly cause thickening of the left wall of the ventricle and accelerate the formation of atherosclerosis in the coronary arteries, the release said. However, in October 2009, the results of a second medical examination, commissioned by Mays' family, concluded that "cocaine was not a significant contributing factor" to his death. The toxicology tests also showed levels of painkillers hydrocodone, oxycodone and tramadol, as well as anti-anxiety drugs alprazolam and diazepam. Mays had suffered hip problems and was scheduled for hip replacement surgery the day after he was found dead.