James Gandolfini's Autopsy Confirms He Died of Heart Attack, Natural Causes

James Gandolfini's autopsy results confirm that The Sopranos star suffered a heart attack and died of natural causes on Wednesday, Reuters reports.

The legendary actor's 13-year-old son, Michael, found him collapsed in his hotel room bathroom, Gandolfini's manager, Mark Armstrong, told Reuters in an email. The three-time Emmy-winner had been vacationing in Rome and was scheduled to attend the closing of the Taormina Film Festival in Sicily tomorrow to receive an award.

Michael alerted Boscolo Exedra Roma hotel staff about the emergency. Paramedics then attempted in vain to revive the actor en route to the Policlinico Umberto I hospital. Doctors tried to resuscitate Gandolfini for almost an hour at the hospital before declaring him dead.

"The resuscitation maneuvers, including heart massage, continued for 40 minutes and then, seeing no electric activity from the heart, this was interrupted and we declared Gandolfini dead," Dr. Claudio Modini told Reuters.

According to the New York Post, Gandolfini had a decadent last supper the night of his heart attack. The actor ate fried king prawns covered in mayo and chili sauce and a large potion of foie gras. He also reportedly drank at least eight alcoholic beverages -- four shots of rum, two pina coladas, and two beers -- at the hotel's outdoor restaurant hours before he was found dead.

However, Modini said doctors found no traces of "suspicious factors," such as alcohol, in the actor's system.