A plaque remaining from the Big Apple Night Club at West 135th Street and Seventh Avenue in Harlem.

Above, a 1934 plaque from the Big Apple Night Club at West 135th Street and Seventh Avenue in Harlem. Discarded as trash in 2006. Now a Popeyes fast food restaurant on Google Maps.

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Entry from September 05, 2010
“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: (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>, (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!!! smile

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.

Posted by Barry Popik
New York CityFood/Drink • Sunday, September 05, 2010 • Permalink