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I haven't watched the Sopranos since season 2; haven't had time, more than anything else. But I've kept tabs on it via online writeups.
Didn't see the finale, either, but when I read the description here the first thing I thought was that Tony probably had a massive heart attack right after the end. Let's face it; all that rich food is deadly, particularly on a man carrying as much belly-fat as Tony.
His high-stress lifestyle is just the icing on the cake.