Richard Eugene Piano was an American bodybuilder, businessman, and YouTuber. He won the NPC Mr. Teen California title in 1989, the NPC Mr. California in 1998, and the NPC competitions in 2003 and 2009. At 1.30 pm on August 7, 2017, Piano collapsed while receiving a haircut at his home in Clearwater, Florida. He was standing at the time and hit his head when he collapsed. Paramedics arrived about 10 minutes later, and the paramedics confirmed that Piano's heart was not beating properly. His heartbeat was eventually restored, but so much time had passed that brain damage had set in from lack of oxygen. After spending two weeks in an adduced coma, to try to reduce swelling to the brain, Piano died on August 25th, and autopsy revealed significant heart disease, and that his heart and liver weighed over twice the average amount for an adult male. Piana acknowledged that he was well aware that his organs were enlarged, and that it was a known side effect of the steroids and hormones he had been taking. But he mentioned that he was not aware that this put him at risk for sudden cardiac arrest. The autopsy report was ultimately inconclusive on the cause and manner of his death, due to the hospital's disposal of all toxicology specimens. Rich Piana was only 46 years old.