LONDON (AP) - Amy Winehouse drank herself to death. That was the ruling of a coroner's inquest into the death of the Grammy-winning soul singer, who died with empty vodka bottles in her room and lethal amounts of alcohol in her blood - more than five times the British drunk driving limit.
Coroner Suzanne Greenaway gave a verdict of "death by misadventure," saying Wednesday the singer suffered accidental alcohol poisoning when she resumed drinking after weeks of abstinence.
"The unintended consequence of such potentially fatal levels (of alcohol) was her sudden and unexpected death," Greenaway said.
The 27-year-old Winehouse had fought a very public battle with drug and alcohol abuse for years, and there had been much speculation she died from a drug overdose. But a pathologist said the small amount of a drug prescribed to help her cope with the symptoms of alcohol withdrawal had nothing to do with her death.
Instead, a resumption of heavy drinking killed the singer, best-known for her tall beehive hairdos and Grammy-winning album "Back to Black." A security guard found Winehouse dead in bed at her London home on July 23.
"She's made tremendous efforts over the years," said Dr. Christina Romete, who had treated Winehouse. But "she had her own way and was very determined to do everything her way."
Winehouse gave up illicit drugs in 2008, but had swerved between heavy alcohol use and abstinence for a long time, Romete said. The singer had resumed drinking in the days before her death after staying away from alcohol for most of July, she said.
Romete said she warned Winehouse of the dangers of alcoholism. "The advice I had given to Amy over a long period of time was verbal and in written form about all the effects alcohol can have on the system, including respiratory depression and death, heart problems, fertility problems and liver problems," she said.
Winehouse joins a long list of celebrities who died after fighting alcohol problems, including jazz great Billie Holiday, AC/DC lead singer Bon Scott, film legend Richard Burton, writers Dylan Thomas and Jack Kerouac, and country music pioneer Hank Williams.
Witnesses testifying Wednesday said the singer showed no signs she wanted to kill herself and had spoken of her weekend plans as well as her upcoming birthday just hours before she was found dead.
"She was looking forward to the future," Romete said, describing Winehouse as "tipsy" but calm when they met the night before her death. That night, her live-in security guard said he heard her laughing, watching television and listening to music at home.
The guard, Andrew Morris, said he knew she had resumed drinking, but did not notice anything unusual until he found she had stopped breathing in bed the next afternoon.
Police Detective Inspector Les Newman said three empty vodka bottles - two large and one small - were found in her bedroom.
Pathologist Suhail Baithun said blood and urine samples indicated Winehouse had consumed a "very large quantity of alcohol" prior to her death. The level of alcohol in her blood was 416 milligrams per 100 milliliters, he said - a blood alcohol level of 0.4 percent. The British and U.S. legal drunk-driving limit is 0.08 percent.