look up any word, like swag:
 
6.
A term coined by Tom Waits. It's quite obviously just heart attack without a space, but it is taken to mean a life and death of shit and revelry. The word was used in the title for his 1980 album, Heartattack and Vine, which had a song of the same name.
An excerpt from Heartattack And Vine
From the album Heartattack And Vine
by Tom Waits,

"See that little Jersey girl in the see-through top
With the peddle pushers sucking on a soda pop
Well I bet she's still a virgin but it's only twenty-five 'til nine
You can see a million of 'em on heartattack and vine

Better off in Iowa against your scrambled eggs
Than crawling down Cahuenga on a broken pair of legs
You'll find your ignorance is blissful every goddamn time
You're waitin' for the RTD on heartattack and vine"
by Frank Rider August 23, 2009
 
1.
A big mac and fries, usually supersized.
Fat American - I'd like one heart attack please
High School Dropout Working at McDonalds - That you for you order. Pick it up at drive-thru window 3.
by ppppo May 15, 2005
 
2.
A sandwhich from McDonalds that contains 2 double cheeseburgers with 2 McChicken sandwhiches in the middle. It contains roughly 1,700 calories. It costs roughly $4 to get. Some assembly is required.
Tommy and Eddie both got Heart Attacks at McDonalds.

After finishing the Heart Attacks in 4 minutes, Eddie and Tommy felt like throwing up.

by Whittaker Crest June 06, 2007
 
3.
A sandwich containing extremely fatty food eg a bun with bacon/sausage/egg/haggis all deep fried.
Can you get me a heart attack for my lunch?
by Ricardo May 18, 2005
 
4.
An energy drink consisting of cola and an energy drink (Usually Coca-Cola and Red Bull.) The result ends up with more caffeine than a regular cup of coffee and a taste of candy. (Coke + Red Bull = Skittles)
Jim was exhausted, so he made himself a Heart Attack.
by Gately January 08, 2008
 
5.
The feeling one gets when a typical casual marijuana user experiences when he smokes good chronic, or too much of something else. Smokers feel their heart race, and become paranoid thinking they are about to experience cardiac arrest.
My boy smoked me out last night, and i got too ripped. I thought i was going to have a Heart Attack!
by firtheria March 08, 2009
 
7.
something that's become more common since the creation of super-sized fast food
super size me-a good and insightful programme about over-weight troubles (although heart attack isn't one of them, but it's pretty obvious)
by Iameverywhereyetno-whereatall April 25, 2010