If you are in Quebec, this is often meant to refer specifically to the national dish of the sovereign nation of Quebec: Poutine. It's fries + tons of cheese curds + hella gravy.

Ultimate cheese burgers filled with enough beef to give you the guaranteed heart attack.

To show that you are serious, and not joking.

having a major coronary while having sex with a perfect 10

the ultimate breakfast sandwich and is made up of pork roll,bacon, egg, cheese, sausage, hash brown, and hot sauce

Go eat at mcdonald's

The constraining feeling in your chest after you drank too much coffee or just consumed an energy drink. You feel antsy, paranoid, energized and sick all at the same time. Much like the feeling you get when you're having an anxiety attack but is not painful.