Duke Roufus' Official Cause of Death Revealed
The mixed martial arts community mourned the loss of legendary kickboxer and coach Duke Roufus, who died in Milwaukee on October 17, 2025. The official determination of his cause of death has only recently been made public.
According to the Milwaukee County Medical Examiner, Roufus' death was attributed to heart disease. An autopsy conducted four days after his passing led to a report, finalized last month, identifying the specific cause as hypertensive and atherosclerotic cardiovascular disease.
The medical examiner categorized his passing as a natural death, citing obesity, congestive heart failure, and atrial fibrillation as contributing factors.
The investigation report from the medical examiner states that Roufus was discovered deceased in his bed by a neighbor. The neighbor had been prompted to check on the former fighter after he failed to collect his 12-year-old daughter from school.
The report also noted that Roufus was last observed alive in public on October 16, 2025, attending his daughter's volleyball game. His ex-wife recalled that he appeared "more tired than usual" since returning from Dubai two weeks prior.
On the night of Roufus' death, his father, Pat, voiced concerns to the Medical Examiner’s Office, suggesting his son "may have been neglecting his prescription medication during his busy time in Dubai," as detailed in the investigation report.
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