(NEW YORK) — The unexpected death of actor James Gandolfini has put the spotlight on a silent killer: heart disease.
Gandolfini died Wednesday of a heart attack, an autopsy revealed Friday. But the 51-year-old Sopranos star was happy “and healthy” on Father’s day, according to family friend Michael Kobold.
“We are all devastated by this loss,” Kobold said at a press conference on Friday. “James was a devoted husband, the loving father of two children and a brother and cousin we could always count on.”
A heart attack occurs when the heart muscle loses its blood supply, often because of a buildup of plaque in the arteries. About 50 percent of men who die unexpectedly from heart disease have no previous symptoms, according to the U.S. Centers for Disease Control and Prevention.
Heart disease is the number one killer of American men, according to the CDC. At 51, Gandolfini was 13 years younger than the average male heart attack victim, but about one in 10 heart disease deaths occurs in people under the age of 55, the federal agency says.
Obesity is a key risk factor for heart disease, and people with an “apple-shape” body are particularly prone, according to the National Institutes of Health. Gandolfini said he struggled with his weight, especially while playing the role of Tony Soprano.
“When I do get thin, which isn’t often, I don’t feel the same,” he told Inside the Actors Studio host James Lipton. “I don’t walk the same. He doesn’t walk the same. You know, with that lumber.”
Gandolfini is survived by his wife, Deborah Lin, his 8-month-old daughter, Liliana, and his 13-year-old son from a previous marriage, Michael.
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