My sister, a nurse told me that the move he did at the end; jumping from the rope onto his chest would have killed him so shortly after open heart surgery.
She said his chest would have opened up like a zipper...basically.
The screen goes dark right after he leaps from the rope so maybe the film does imply that he dies doing the only thing he knew he was good at. The rest of his life was pretty much a disaster on top of endless heartbreak and daily humiliation.
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