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This article presents a comprehensive analysis of the circumstances surrounding the deaths of all deceased presidents of the United States of America. Based on historical documents, medical reports, and expert assessments, the chronology and causes of death of American heads of state are reconstructed. Particular attention is devoted to the eight presidents who died while in office, including four who fell at the hands of assassins and four who succumbed to natural causes. Statistical analysis covers natural mortality, assassinations, illnesses concealed from the public, as well as unique historical coincidences associated with the dates of presidential deaths.