reportedly suffered four heart attacks, dying at 11:45 p.m. local time. Fernandes was part of a program that helped people deal with drug addiction through martial arts and it has been alleged that after undergoing exams the fighter spent the night before the fight taking drugs. Fernandes passed his pre-fight blood exams, but did not have his heart or brain checked prior to the contest. In unsanctioned fights Alfredo Castro Herrera 15-year-old Alfredo Castro Herrera died on April 14, 1981, following an unsanctioned "mixed martial arts" match described in the St. Louis Globe Democrat as "boxing mixed with karate and judo" (April 15, 1981 issue) in Tijuana, Mexico, where he was knocked out. Herrera's opponent was Angel Luis Rodriguez. Douglas Dedge 31-year-old Douglas Dedge was an American mixed martial artist who was the first known American competitor to be fatally injured in an MMA fight and the first death in the modern era of MMA. On March 16, 1998, Dedge competed at an unsanctioned "World Super Challenge" event in Kyiv, Ukraine. After tapping out following multiple strikes to his head, Dedge stood and almost immediately collapsed back to the mat. Dedge was then taken to the Kyiv Institute of Surgery where he died two days later on March 18 of what the chief emergency room doctor termed "severe brain injuries". Dedge was reported to have passed out during a training session leading up to the bout and it is now widely believed (though never officially confirmed) that Dedge had a preexisting medical condition. Lee 35-year-old Lee died following an unsanctioned May 12, 2005, MMA bout that took place in a sports bar in Samsong-dong, South Korea. No prefight physical exams were conducted. The cause of death was listed as myocardial infarction (heart attack). Mike Mittelmeier 20-year-old Mike Mittelmeier died April 27, 2012, following an unsanctioned April 21 event in Bolivia. After taking down his opponent and applying a leg lock, his opponent illegally kicked him in the head with the heel of his foot, knocking him out. The fight was stopped and Mittelmeier was pronounced the winner by disqualification. A few seconds later, he collapsed (later being diagnosed with a cerebral hemorrhage that left him comatose). It is alleged that the promoters did not have a doctor or ambulance standing by and it took a long time before he was transferred to a hospital. Dustin Jenson 26-year-old Dustin Jenson died