It means they were sleeping when they died. It never says anything about the specific cause of death. If you think of all of the illnesses or diseases that could cause a person to die while they’re awake, they can also typically cause death while asleep. The term is used to imply the individual died without suffering. It doesn’t say *how* they died, but it says they weren’t conscious when it happened, indicating less pain/discomfort than they might have experienced while awake.
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