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My understanding is that these catastrophic events typically leave the victim unconscious before they have much time to suffer. I'm not an expert so I'm prepared to be wrong. I hope that was the case for her. I'm aware it could have hurt, too — I suppose the sentiment is that this wasn't a drawn out, needlessly arduous event of waiting and suffering.
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My understanding is that people have enough time to register "holy fucking shit, this is it, I'm about to die" before they pass out.

That's why they archetypically clutch their chests.

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> she had a freak, vast cardiovascular event—and died instantly

> But then, soon after, disaster struck, and she collapsed, the victim of a massive cardiovascular event. My only solace in this tragedy is that the end came instantly

Perhaps because you are contradicting the author of the tribute with your own unfounded assumptions about the particulars of her passing. I would wager he knows a little bit more about what she experienced than you, surmising in generalities, do. And really, what is the purpose of this quibbling? "Ah yes, I can't let this grieving man have any comfort -- I must assert that actually, his wife must've suffered quite a lot before she died".

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