La Romana, Dominican Republic( CNN) Miranda Schaup-Werner, the first of three American tourists to die mysteriously within a week at a Dominican Republic resort, succumbed to a heart attack, the Caribbean island’s attorney general said.

The couple had internal bleeding, be recorded in their pancreases. Holmes had an magnified heart and cirrhosis of the liver — both clues of substantial pre-existing disease. Day too had fluid in her brain.The three Americans had fluid in their lungs, Attorney General Jean Alain Rodriguez Sanchez’s office said in a statement.

Authorities said they won’t be able to provide more details on the causes of death until toxicology results are completed. Investigators experienced “several pill bottles” of three drugs, including the prescription opioid oxycodone, the attorney general’s office said.

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