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Give a hummingbird a heart attack 

Used to refer to the effect of an extremely large amount of stimulants generally taken during night-before-test study sessions, or when writing a 30+ page thesis due in several hours.
Guy: "Yes, I stayed up all night and had enough Red Bull to give a hummingbird a heart attack, but I finished my thesis two minutes before I had to present it"
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text message heart attack 

Getting a text message while zoning out or in the middle of the night (while sleeping, preferably) that scares you out of your skin, gives you a quick adrenaline rush, then leaves you with a slightly worn down heart and a bad message from someone you don’t really care that much about.
I got a text message heart attack last night when you woke me up at 2am with your pointless message!

You gave me a heart attack! 

You made my heart skip a beat!

fat kid heart attack

the potential result of an overweight person having to endure any of the following life threatening events:
1. too much time without food
2. too much of the same food-i.e. 100 candy bars
3. exercise
"man, if i dont eat soon im gonna have a fat kid heart attack"

OR

"let the boy take a break from running before you give him a fat kid heart attack"

Russian Heart Attack 

A murder made to look like death by natural causes, normally committed by the Kremlin.
"Oh yeah, Vlad was a public speaker against the dictatorship. A week after one of his biggest speeches, he died from Russian Heart Attack (if you know what I mean)."
Russian Heart Attack by Spher0 September 28, 2017

4 Signs You're About to Die of a Heart Attack

An ad that I see all the fucking time on Urban Dictionary.
4 Signs You're About to Die of a Heart Attack. *Insert image of foot.*

a pleasant heart attack 

having a major coronary while having sex with a perfect 10
Bob had a pleasant heart attack while in bed with Ali Larter