NEWYou can now listen to Fox News articles!
Nearly four months after the body of a missing South Carolina fitness enthusiast was found, authorities have determined that 39-year-old Elena Katherine Moore died of natural causes stemming from a heart condition, ending months of speculation surrounding her disappearance.
Lexington County Coroner Margaret Fisher announced Friday that Moore died from complications of cardiac dysrhythmia with premature ventricular contractions, a condition involving an abnormal heart rhythm.
Fisher said the autopsy found no evidence of traumatic injuries, including broken bones, strangulation or sexual assault. Toxicology testing detected alcohol but no other substances.
SOUTH CAROLINA FITNESS TRAINER’S AUTOPSY RAISES MORE QUESTIONS ABOUT MYSTERIOUS DEATH
“We never saw anything that would indicate homicide. Nothing,” Fisher said. “We were able to follow her path. We were able to pull her medical history, her mental history. We knew that this was not a homicide.”
Elena Katherine Moore, 39, was found dead after she left a Planet Fitness gym in Lexington, South Carolina, on Thursday, June 11, 2026, according to the Lexington Police Department. (Lexington Police Department)
The coroner also addressed speculation surrounding Moore’s husband, Brannon Slice, saying he was never considered a suspect or person of interest in the investigation.
SOUTH CAROLINA FITNESS TRAINER TOLD FRIENDS SHE WANTED TO LEAVE HER NOW-HUSBAND YEARS BEFORE BODY WAS FOUND
Fisher went further, crediting Slice with repeatedly trying to get his wife help as she struggled with a serious mental health crisis in the days before her disappearance.
“The only person that really tried to help this girl to get her help through the system is her husband,” Fisher said. “He reached out. He tried many times to get her help.”
SLED JOINS PROBE AS BODY MATCHING MISSING SOUTH CAROLINA PERSONAL TRAINER’S DESCRIPTION FOUND
Moore was found dead June 17, six days after disappearing following her release from a mental health facility.
Elena Moore was found dead about a week after she went missing. (Facebook/Elena Moore)
Fox News Digital previously obtained an incident report showing that Slice reported his wife missing June 12, telling Lexington police she had been released from an undisclosed facility the previous afternoon.
FOLLOW THE FOX TRUE CRIME TEAM ON X
Fisher confirmed Friday that Moore had been involuntarily committed June 5 after experiencing what she described as a severe mental health crisis.
The coroner said Moore remained at the facility until June 11, when she was discharged and placed in a taxi. Her husband had offered to pick her up, but the facility arranged transportation instead.
AI MAY SPOT DEADLY HEART RISK IN A ROUTINE ECG
Elena Moore and her husband, Brannon Slice. (Facebook/Elena Moore)
SIGN UP TO GET THE LATEST TRUE CRIME NEWS
The taxi took Moore to a CVS on Sunset Boulevard in Lexington, where she previously worked. Fisher said Moore entered the store and told a manager that the taxi driver was stalking her and trying to hurt her.
CLICK HERE FOR MORE FROM THE FOX TRUE CRIME HUB
The manager contacted Lexington police, but Moore was gone by the time officers arrived. The taxi driver also went inside looking for her after she failed to return to the cab.
YOUR RESTING HEART RATE COULD REVEAL MORE ABOUT YOUR HEALTH THAN YOU THINK, DOCTORS SAY
General view of the scene in Lexington, So. Carolina, June 19, 2026 where the body of Elena Katherine Moore was found. The personal trainer was last seen alive on June 11. (Kat Ramirez for Fox News Digital)
SEND US A TIP
Slice later told investigators that Moore had checked into a Planet Fitness at 6:38 p.m. that evening, according to an incident report previously obtained by Fox News Digital. She was subsequently seen on surveillance footage walking through a Publix parking lot on Old Cherokee Road.
LISTEN TO THE NEW ‘CRIME & JUSTICE WITH DONNA ROTUNNO’ PODCAST
Fisher said investigators reviewed medical records dating back years, including evidence that Moore had experienced an irregular heartbeat since she was 14. More recent records documented cardiac arrhythmia, sinus tachycardia and hypertension.
GET BREAKING NEWS BY EMAIL
During Friday’s news conference, Fisher questioned why Moore had been discharged from the mental health facility despite what she described as a documented psychiatric crisis.
CLICK HERE TO DOWNLOAD THE FOX NEWS APP
“This whole situation would be different if somebody at that mental health facility … they all saw her medical, her mental crisis,” Fisher said. “But yet she was released.”
Fox News Digital’s Adam Sabes contributed to this report.