“Heart attack on a bun” (“Cholesterol on a bun”)

“Heart attack on a bun” (or “cholesterol on a bun”) is a dish loaded with potentially artery-clogging food. “Heart attack on a bun” is cited in print since at least February 1992 and “cholesterol on a bun” since August 2000. The expression “heart attack on a bun” first described hot dogs and hamburgers, but was gradually extended to describe other meals.
   
Similar expressions include “heart attack on a plate” (since April 1988),  “heart attack in a bag” (since January 1995), “heart attack on a stick” (since August 1995), “heart attack in a can” (since February 1998), “heart attack in a bottle” (since July 1999) and “heart attack on a rack” (since 2009).
 
   
Urban Dictionary
Heart Attack on a Bun
the ultimate breakfast sandwich and is made up of pork roll,bacon, egg, cheese, sausage, hash brown, and hot sauce
Yo lets go get a heart attack on a bun
by Rican Heights Jun 14, 2007
 
heart attack on a bun
Ultimate cheese burgers filled with enough beef to give you the guaranteed heart attack.
Dude, that super-sized big mac is a freakin heart attack on a bun!
by fry1020 Jul 24, 2009
   
2 February 1992, Daily News (Los Angeles, CA):
Hamburgers and Southern California go together like sesame seed and bun.
(...)
“It’s a heart attack on a bun,” said Wayne Deweese of Torrance, with an odd measure of pride.
 
Google Groups: alt.mcdonalds
Newsgroups: alt.mcdonalds
From: .(JavaScript must be enabled to view this email address) (Charles E “Rick” Taylor IV)
Date: Sun, 9 Feb 1992 15:55:01 GMT
Local: Sun, Feb 9 1992 10:55 am
Subject: Re: New sandwich
 
>In article <1992Feb3.182650.17…@linus.mitre.org>

, .(JavaScript must be enabled to view this email address) (J. E. Shum) writes…

>>Has anyone seen the ad for McDonalds newest sandwich?  I kid you not; It
>>is called the DOUBLE Quarter Pounder w/cheese.  Talk about heart attack
>>on a bun!
 
>What! No BACON on it!  Sorry, it ain’t instant coronary without bacon!
 
Bacon or no, Wendy’s still has it beat for most lethal substance ever to grace a bun - the TRIPLE with cheese.  I can feel my cholesterol level rise just thinking about it.  C’mon McDonalds, give us something a bit more lethal!!! 😊
 
26 August 2000, Toronto (Ontario) Star, “Five-star dining it’s not; Burger ‘could start a prison riot,’ critic says,” pg. B2:
We also try an Oktoberfest sausage cholesterol on a bun with sauerkraut.