A jury in the UK has found that a former Jamaican boxer died from heart failure compounded from being restrained at a hospital in Wolverhampton.
59 year old Fitz Francis died at the city's Penn Hospital on February 22, 2009.
The jury at an inquest into his death concluded the restraint was necessary.
Francis was admitted to the hospital from Winson Green Prison on the advice of doctors, after refusing to take medication while in jail.
But a five-day inquiry into his death last week, heard he had assaulted staff at Penn Hospital and removed his belt as he threatened to attack nurses.
This led to him being restrained and injected with a drug to calm him down.
Minutes later staff realised Francis was not breathing and he later died.
Evidence from a doctor, who examined the body, found that Francis had an enlarged heart and scar tissue on the muscle which suggested he had a history of high blood pressure and heart disease.