Days later, it still remained unclear what may have caused their condition.
Both Day and Holmes had internal bleeding, including in their pancreases and fluid in their lungs.
New autopsy results show that Miranda went into cardiac arrest after suffering respiratory failure which is also listed on Holmes and Day's autopsy reports. Day also had fluid in her brain, based on a statement from Attorney General Jean Alain Rodriguez Sanchez's office.
Authorities said they won't be able to provide more details on the causes of death until toxicology results are completed.
They have attributed the couple's death to high blood pressure and say that there was an abundance of medication in their room when their bodies were found. The pair was celebrating a wedding anniversary. The couple was enjoying a drink from the minibar in their room when Schaup-Werner collapsed.
According to the report, the hotels were being inspected by health inspectors, including environmental health and epidemiology specialists, on Thursday.
"Violent crime, including armed robbery, homicide and sexual assault, is a concern throughout the Dominican Republic", a State Department official told the Trib, adding the U.S. Embassy is monitoring the investigations of the Americans' deaths by Dominican authority. They checked into the hotel May 25 as well.
"What we thought was a freak event, now we don't know", McDonald said.
She said any conscious moments that followed she was unable to make out the assailant's face because she had already been so savagely beaten that her eyes were swollen shut.
"It should have never happened", Dajuan Holmes-Hamilton said.
She said that on her second night at the hotel, she walked alone through a rotunda on the property at about 10:30 pm intending to take some pictures of the moon over the water and perhaps grab a snack.
Days later, the driver said, he went to pick them up for their return trip back to the airport, and was told they'd checked out.
"These attacks are happening too frequently and the criminals are NOT being prosecuted even though evidence is found", the woman said. Bahia Principe said in a statement on Wednesday that the three incidents were not correlated.
According to their suit, the couple's room smelled of chemicals.
In the case of Schaup-Werner, paramedics provided first aid, but she died in the room, according to Col.
She is suing the resort. No violence was involved, the police official said.
All three died from respiratory failure and pulmonary edema. "We disapprove of any speculation and conjecture on the possible causes of death and urge all to respect the families while the investigation is ongoing", the statement read.
"You should pay the extra and let the resort's bus or the vacation package's bus take you", Scheid said. There are no indications of any connection between the two cases, it said.
"She had been seemingly healthy".
Her disappearance lasted eight hours and the whole while she was going in and out of consciousness.
The tourism industry made up more than 17% of the country's economy a year ago, according to the World Travel & Tourism Council.
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