James Gandolfini's 13-year-old son summoned help after his father collapsed in an Italian hotel room.
The Sopranos actor died yesterday at the age of 51 of a suspected heart attack. He was on a 'boys trip' with his 13-year-old son Michael when he was taken ill.
Michael discovered his father collapsed in the bathroom at their hotel at around 10pm, the establishment's manager Antonio D'amore told NBC News.
He immediately summoned help and staff at the five-star Boscolo Exedra hotel in Rome found the star on the floor in the bathroom. They worked hard to resuscitate him and when the ambulance arrived he was still alive.
Gandolfini was pronounced dead at 11 p.m. Wednesday in Rome after being taken by ambulance to the Policlinic Umberto I hospital.
Dr. Claudio Modini, head of the hospital emergency room, said Gandolfini arrived at the hospital at 10:40 pm and was pronounced dead after resuscitation efforts in the ambulance and hospital failed.
An autopsy would be performed starting 24 hours after the death, as required by law, Modini said.
The actor, known for his portrayal of the tortured Italian-American mob boss Tony Soprano, was to have received an award and taken part in the closing ceremony Saturday of the Taormina Film Festival, which takes place against the backdrop of Taormina's spectacular Roman amphitheater.
He also was to have given a special class Saturday morning at the festival, as was done by actor Jeremy Irons earlier in the week.
Festival organisers Mario Sesti and Tiziana Rocca said instead they would organize a tribute "to celebrate his great achievement and talent." They said they had heard from Gandolfini a few hours before he died, and "he was very happy to receive this award and be able to travel to Italy."
The Sopranos was a hit when it first aired in Italy in 2001, with critics giving it rave reviews, despite some criticism from Italian-Americans across the Atlantic who thought it stereotyped them.
"Rarely does one see fiction so intelligent, ironic, full of psychological and narrative subtleties. And the dialogue! The photography!" Italy's most prominent TV critic, Aldo Grasso, gushed in the leading daily Corriere della Sera after the first episode aired. "Trust me, don't miss The Sopranos!"
The daily La Repubblica called the show a "masterpiece." The paper deplored that it was being "hidden" from viewers by being aired at the unenviable 12:30 am timeslot and urged it to be moved up - something former Premier Silvio Berlusconi's Mediaset network eventually did, showing it at 11:30 pm.
Gandolfini's death was one of the top news stories in Italy on Thursday, with American tourists outside his hotel well aware of the tragedy.
"I thought he was a great actor," said William Capece, visiting Rome from Houston, Texas. "Pretty sad because it is a big loss to the field of acting."
The US Embassy in Rome, which said it had learned about the death from the media, said it would be available to provide a death certificate and help prepare the body for return to the United States. The embassy said it can often take between four and seven days to arrange for it to be sent outside of Italy.
The embassy spokesman declined further comment, directing inquiries to the family.
It isn't yet known yet what caused his heart to stop beating. Sudden cardiac arrest can be due to a heart attack, a heart rhythm problem, or a result of trauma. The chance of cardiac arrest increases as people get older; men over age 45 have a greater risk. Men in general are up to three times more likely to have a sudden cardiac arrest than women.
-with Cover Media