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heart attack on a plate 

A termendous pile of greasy food that is all served on one plate. Quite likely to be seen at buffet restaurants.
*Nick D and one of his friends from the ghetto are out dining at the Golden Corral*

Nick D: *accidently spits out his drink while alarmed by the sight of a morbidly obese man serving himself pounds of fatty meat on a single plate* Holy shit, yo check out that niggapotamus over there serving himself a whole heart attack on a plate!
Nick's homie: I see that. Daaayum, that be one fool who needa check himself before he wrecks himself with that metric shitload of grease.
Nick D: Yeah I bet that sucka's soon gonna need an ox cart to carry his Jabba the Hutt ass around.
heart attack on a plate by Mark H September 23, 2004
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heart attack on a plate 

Shitloads of greasy food on one plate
Hey fatass mind the heart attack on a plate

heart attack on a plate 

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.
If you are from outside of Quebec, you probably haven't eaten any good poutine
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