RECORD OF EXAMINATION *28-10514* as CLARK COUNTY CORONER/MEDICAL Hof, Dennis EXAMINATION OT Name: _// 2 7 Under 18 zo Case # Pathologists 7 >>." A a Le Forensic Tech: pata aft Cire. Tech: JAZ foe Date of Examination: __/o_/- L2 or £ Time of Examination: 7 <_< EXAM TYPE: Autopsy: _<-—~ Medical Exam: ‘Head Post: No Forensic Interest: Cause of Death is Pending: Toxicology_C~ Microscopic_<~“Further Studies___ Police Investigation Other: RADIOGRAPHY Hospital X-rays Examination X-rays No X-rays Taken EVIDENCE COLLECTED/MPOUNDED Evidence Impounded: Projectile Ligature Mise: DNA SPECIMENS DNA Blotter _ ~~ None Taken, Cannot Yield Conventional Specimen CERTIFICATION Cause of Death: tnedte pipoteral i hee pi, Dueto: aff ee oo © and Lug 7 aalintte tan Lo a te Due to: Other Significant Conditions: /.'< Ac 7 : rhevs How Injury Occurred: Date of Injury: Time of Injury: Location of Injury: Manner of Death: A f Date Unpended: _2_ jee he 1 ME QA Ete A Review noe ZN Rememte Sc DA’ i YG Bxbs seme oho ly Te lade ye i 3 CAUSE OF DEATH IS DUE TO INICABLE DISEASE: CIYES NO TOXICOLOGY ‘Toxicology Specimen(s): Ono Specimens Submitted No Tox Requested Specimens Submitted: 1B ga stele pe le ig Submit Date: _ 70 ‘2 2/ J” Toxicology Results Returned Date: DISPOSITION “Hela ‘Reason for Hold: Released: DC Typed InitialsClark County Coroner 1 Las Vegas, NV 89106 AUTOPSY REPORT Case Number: 18-10514 }704 Pinto Lane (702) 455-3210 October 17, 2018 I. Iz. AUTOPSY REPORT PATHOLOGICAL EXAMINATION ON THE BODY OF DENNIS HOF AUTOPSY FINDINGS Atherosclerotic and hypertensive cardiovascular disease: A. 3-vessel coronary artery atherosclerosis, severe, with recent thrombosis of right coronary artery. 1, Acute myocardial infarction, left ventricle, posterolateral wall, and interventricular septum, posterior. 2. Remote myocardial infarctions, left ventricle, anterolateral and posterolateral walls, and interventricular septum. B. Aortic atherosclerosis, severe. C. Cerebrovascular atherosclerosis, severe. D. Cardiomegaly (heart weight: 650 grams) with left ventricular hypertrophy. E. Lacunar infarcts, pons. F. Nephrosclerosis. Diabetes mellitus (per history): A. Nephrosclerosis. B. Pancreatic fibrosis and fatty infiltration. III. Obesity (Body Mass Index 32.7): Iv. v. vr. A. Hepatic steatosis. Chronic obstructive pulmonary disease, mild. Renal mass, left kidney, histologically suggestive of renal cell carcinoma. Horseshoe kidney. VII. Splenomegaly (spleen weight: 470 grams). VIII.Cholelithiasis. Ix. x. xr. Prostatic nodular hyperplasia. Status post appendectomy. No significant traumatic injuries. Dissemination is restricted, ‘Secondary dissemination of this document is prohibited.Clark County Coroner 1704 Pinto Lane Las Vegas, NV 89106 (702) 455-3210 AUTOPSY REPORT Case Number: 18-10514 XII. Toxicology: A, Delta-9 THC (active ingredient of marijuana) and its metabolites 11-Hydroxy Delta-9 THC and Delta-9 Carboxy THC detected. Sildenafil (110 ng/mL) and its metabolite N- Desmethylsildenafil (35 ng/ml) detected. C. Non-toxic levels of arsenic (6.4 mcg/L), selenium (200 meg/L), and lead (3.4 meg/dL) detected. D. Caffeine detected. E. Gamma-hydroxybutyric acid, cyanide, oleandrin, and swainsonine NOT detected. F, Vitreous chemistry non-contributory. G. See separate toxicology reports. OPINION According to the investigative information provided, this 72- year-old man was celebrating his birthday with friends on the night of October 15, 2018. He returned to a local brothel (which he owned) with friends at approximately 2300 hours and went into a bedroom with a female employee. She left the room at 0050 hours and went to her bedroom. When he had not emerged from the bedroom or responded to text messages by 1030 hours, the woman asked a male friend to check on him. The woman, the male friend, and the house manager entered the room and discovered him lying supine on the bed and unresponsive. 911 was called. Emergency medical services found him beyond resuscitation, and death was pronounced at 1100 hours. The autopsy documented an obese Caucasian male with the findings listed above, which included a recent thrombus in the right coronary artery and an acute myocardial infarction involving the posterior wall of the left ventricle and interventricular septum. The microscopic features are consistent with the infarction occurring between 4 to 12 hours prior to death. No significant traumatic injuries were identified. Toxicological testing detected Delta-9 THC (active ingredient of marijuana) and its metabolites 11-Hydroxy Delta-9 THC and Delta- 9 Carboxy THC, therapeutic/non-toxic levels of sildenafil and its metabolite N-desmethylsildenafil, and caffeine. A Dissemination is restricted. ‘Secondary dissemination of this document is prohibited.