The Holy See on Monday evening released the death certificate detailing the cause of death of Pope Francis, who died in his Vatican apartment at 7:35 a.m. in Rome on April 21, the day after Easter.

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After an examination, Vatican physician Dr. Andrea Arcangeli determined the pope died from a stroke, coma, and irreversible cardiovascular collapse, according to the death certificate published just over 12 hours after Francis’ death.

According to the certificate, compounding factors included Francis’ previous episode of acute respiratory failure from bilateral pneumonia, the chronic disease called bronchiectasis (the permanent enlargement of parts of airways of the lungs), hypertension, and type II diabetes.

Arcangeli, the director of the Vatican’s health and hygiene service, said the cause of death was determined through an EKG.

The Vatican physician is also responsible for ensuring the pontiff’s remains are appropriately preserved so that public exposition of the corpse can be carried out “with the greatest decorum and respect.” 

On the evening of April 21, Cardinal Kevin Farrell, the camerlengo, presided over the “rite of the ascertainment of death and deposition in the coffin” in the chapel of Pope Francis’ Vatican residence, the Casa Santa Marta, in which special prayers are said for the pope and his body is dressed in vestments and placed in a coffin.

The College of Cardinals will begin meetings, called general congregations, on April 22 to plan the papal funeral and to make decisions related to the governance of the Church and the running of the Vatican during the sede vacante, or period without a pope.

This article was originally published on Catholic News Agency.

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