[[caption-width-right:341:[[MemeticMutation A CERTAIN ONOMATOPOEIA]][[note]]The infamous "HHNNNNNNNG" once became so overused on ''VisualNovel/KatawaShoujo'' official forum, that it started to get wordfiltered and became an official infraction. The forum readers immediately [[LoopholeAbuse started to refer]] to all {{Moe}} content as "A CERTAIN ONOMATOPOEIA" instead, after the most infamous moderatorial.[[/note]]]]

->''"Oooo... It's the Big One... You hear that Elizabeth... I'm comin' to you, I'm comin' home to join you, honey!"''
-->-- '''Fred Sanford''', ''Series/SanfordAndSon''

Your character is going along in their daily life when suddenly they complain of a shooting, radiating pain in their left shoulder and arm. Within seconds they stagger, clutching at their chest while their face turns bright red, then they drop like a stone to the floor, unconscious and probably dead. Congratulations: your character's just had a Hollywood Heart Attack.

May be consciously averted in modern medical dramas if the writers care.

RealLife heart attacks vary in their nature, from instantaneous death, to chest-clutching dramatics and flailing, to [[ParanoiaFuel ones you don't realize you've had until an ECG years later discovers the damage left behind]]. Some heart attacks will not even show up on an ECG, which is why RealLife cardiologists, when treating a suspected heart attack, will perform a series of additional tests in the event of a negative ECG reading. Some sufferers collapse; some don't. Some throw up; some faint. A massive heart attack can make the sufferer feel like they're about to have a bout of diarrhea, which is one reason why so many people [[TheCanKickedHim die on the toilet]].[[note]]For those interested, it happens because blood pools in the mesenteric veins when the heart suddenly weakens. This also is why hospitals have emergency pulls by toilets. [[AndKnowingIsHalfTheBattle Now you know]].[[/note]]

Note that some examples go so far wrong as to call a heart attack "heart failure", which is a completely different condition that has to do with the heart's ability to efficiently pump the blood it receives.



* This trope is so common that the British Heart Foundation made a TV ad showing [[DefiedTrope it's not always the case.]] [[http://www.youtube.com/watch?v=UW9Cjj3i6QE Youtube example.]] So have the American Heart Association and the Canadian Heart and Stroke Fund.
* [=LifeAlert=] and other emergency response systems: Commercials frequently depict elderly people suffering a sudden health emergency or injury, with a heart attack the most common situation. Someone will be crying, "I'm having a heart attack!" while yowling in severe pain, clutching his chest and having fallen to his knees. A variety of situations were presented: someone is working in the garden, or dining with his/her spouse at a fine restaurant (both obviously redecorated sound stages) when the onset of the health emergency happens; at least one has some [[{{Narm}} ominously dramatic music]] played in the moments before the heart attack is played out. Note that the victim always has presence of mind to press the button on his transmitter to contact the Life Alert dispatcher which, along with the cheesy acting, set and music, add to the massive levels of {{Narm}} on display.
* Played with in two Prilosec commercials. The first commercial involves an elderly man watching a muscular young jogger running through the park. The old man then suddenly gasps and clutches his chest... because he just saw [[SubvertedTrope the young man collapse to the ground, gasping for air after having a heart attack.]] The second commercial has a similar set-up: a fat guy stuffing a big greasy burger in his face, a skinny dude eating a salad, fat guy gasps and stares in horror to see [[SubvertedTrope the skinny guy being rushed to the ER after having a heart attack.]] The commercials go out of their way to tell the viewer that heart attacks aren't like what you see on TV, and could happen to anybody with a heart condition.
* There was a French ad where various women are asked to act out various scenes (including an orgasm) but all of them draw a blank when told to prtray a heart attack.

[[folder:Anime & Manga]]
* All over ''Manga/DeathNote'' though at least these are magically induced fatal heart attacks. Averted with [[spoiler:the death of L, who just falls off of his chair and dies without a sound, and with Mello, who simply falls onto the steering wheel of the truck he was driving.]]
* In ''Manga/CaptainTsubasa'', this happens to Jun Misugi in a regular basis in his younger days, if he pushes himself too hard during his matches. His heart condition starts to improve by the time of the Junior High arc, and he fully heals at the start of the World Youth arc.
* In ''Literature/{{Another}}'', one of the students from class 3-3, Takabayashi, dies from a heart attack right before he could tell Sakakibara anything about the truth of the class. In the anime, his death [[spoiler:is the reason why his grandmother becomes insane and AxCrazy and start to murder the class, beginning with killing her own husband for no reason]].
* In ''Anime/MagicalGirlLyricalNanohaAs'', Hayate Yagami suffers from "Linker Core attacks". She eventually rehalibitates from her whole illness.
** In ''Anime/MagicalGirlLyricalNanohaStrikers'', Regius Gaiz suffers from a heart attack when he sees a captured picture of Zest Grangaitz's face. It doesn't kill him, though.
* Miyo Takano's father from ''VisualNovel/HigurashiWhenTheyCry'' died from a heart attack during his work. What was his job? He was a bus driver. Guess what happened.
* In ''Manga/FruitsBasket'', Komaki Nakao's father had a heart attack which caused a car crash and he died. [[spoiler:Another victim of the car crash is Tohru's mother Kyoko.]]
* A filler victim called Komiyama from ''Manga/DetectiveConan'' died from a heart attack, which was planned by his wife. However, instead of a perfect crime, her {{Jerkass}} husband happened to be hit threetimes by three co-workers who believed to accidently kill him and they confessed that they "murdered" him, all telling different stories. The actual course of the case: Komiyama molested his female co-worker, then she hits him with a vase. He later got up, became angry and attacked another co-worker who was dating the female one, but the co-worker hit him with a vase. Then, Komiyama got drunk and harrassed yet another co-worker and was hit with a vase again. After he recovered from that attack, he ''finally'' got a heart attack and took his medicine which he believed was for his heart disease, but it was replaced with another medicine by his wife.
* ''Manga/MobileSuitGundamTheOrigin'' shows Zeon Deikun dying this way in the middle of a speech, either as the result of poisoning or a heart condition he inherited from his mother.
** While the reasons for his death were ambiguous both in [[Anime/MobileSuitGundam the original]] and here, the way his character was handled in the remake gives rather more credence to the natural causes. In ''The Origin'' Deikun is a [[TheFundamentalist much more intense and passionate man]], being consumed by the burning hatred of TheFederation, which would give a lot more stress to his already weakened heart.
* Employed subtly in ''Anime/DragonBallZ'': when Goku starts suffering from a viral heart infection, it goes under the radar as simple shortness of breath at first. As he fights Android 19, however, the shortness of breath and subsequent exhaustion become worse, and he starts to clutch at his chest as it hurts.
* In episode 10 of ''Manga/HanasakeruSeishounen'' [[spoiler: Fred]] has a heart attack after seeing a picture of Rumaty who he though was Mahaty. He recovers in the next episode.
* In episode 5 of ''Anime/KaleidoStar'' [[spoiler: Sora's father]] has a heart attack and [[spoiler: Sora]] wants to return home, but her father allows her to stay after he recovers.
* In episode 7 of ''LightNovel/KyoKaraMaoh'' a random man in the audience dies of a heart attack and [[spoiler: Yuri's sword Morgif eats the soul and goes out of control, he is contained though eventually by Yuri]]
* In episode 1 of ''Manga/BinboGamiGa'' [[spoiler: Ichiko's butler Suwano]] has a heart attack and is left in critical condition at the hospital. But Ichiko saves his life by releasing some of her good fortune at the hospital.

[[folder:Comic Books]]
* ''ComicBook/{{Family}}'': [[spoiler:Gio dies of a chest-clutching heart attack during the climactic fight against his evil brother Silver.]]

[[folder:Fan Fiction]]
* Averted in the ''Manga/AttackOnTitan'' fanfic [[https://www.fanfiction.net/s/10156375/1/My-Child My Child,]] in which, after [[spoiler:Levi, having signed a DealWithTheDevil with Xaphan]], dies, Hanji points out that if the cause of death were a heart attack like the medics ruled, it would have lasted on average 15 minutes, and had symptoms beforehand instead of being instant death.
* In ''FanFic/TheBugTypeQueen'', a ''Literature/{{Worm}}'' x ''Anime/{{Pokemon}}'' crossover, Danny has one when Taylor shows up in the first interlude, given everything that's happened to her without him knowing. Luckily, Clawitzer has Heal Pulse and helps resuscitate him.
* In ''[[https://www.fanfiction.net/s/4780695/13/A-Collection-of-Harmonious-OneShots A Collection of Harmonious OneShots]]'' after killing Dumbledore by injecting air into his heart, Harry and Hermione arrange the body so it looks like he's had one of these, complete with clutching at the left arm.

* [[AvertedTrope Averted]] in the 1978 ''Film/SupermanTheMovie'' Creator/GlennFord, who played Jonathan Kent, ''researched what a real heart attack looks and feels like'' so his portrayal would be accurate. It's still an obvious attack, though -- Pa realizes what's happening and manages to whisper, "Oh, no," before he falls over.
* Averted in ''Film/EverAfter''. The father is about to ride away. His arm goes numb, but he decides to shake it off. He doesn't even make it to the gate when he groans and falls off his horse. FinalSpeech gets played straight, however - he manages to gasp for a few minutes and deliver some last words without the loss of consciousness before death that generally happens when someone dies suddenly of a heart attack.
* In ''Film/MontyPythonAndTheHolyGrail'', as the horrendous Black Beast lunged forward, escape for Arthur and his Knights seems hopeless... when suddenly, [[AuthorExistenceFailure the animator suffered a fatal heart attack]]. -Animator keels and falls over, dead- The cartoon peril is no more. The quest for the Holy Grail could continue.
* Played straight in ''Literature/TheHotelNewHampshire'', when the grandfather (played by Creator/WilfordBrimley) has a textbook Hollywood Heart Attack after being frightened by [[spoiler:the stuffed remains of the family's deceased pet]].
* Averted in an unusually effective manner with another Wilford Brimley film (though Brimley is not present in the scene, his character being locked in the tool shed at the time) in ''Film/TheThing1982''. One of the men has a sudden heart attack, but only ''after'' he collapses (having been thrown aside by one of the other men following a TakingYouWithMe threat). There's no chest clutching dramatics or anything- the only indication that something's wrong is a very brief, easy to miss moaning noise, followed by another man suddenly realizing he isn't breathing. [[spoiler: Interestingly, in the very next scene he's revealed to be a Thing. One theory is that his heart attack was the result of his assimilation being completed, though there are arguments that it just simulated the heart attack because that's what would happen to him if he was human]].
* [[AvertedTrope Averted]] in ''Film/AllThatJazz''. Director Creator/BobFosse had already had a heart-attack himself, and there was a physician on the set to help create realistic physical symptoms (grey skin, sweating) for the [[AuthorAvatar Fosse-like]] character Joe Gideon. The scene where everything goes silent as he completely focuses on his first symptoms is brilliant.
* In ''Film/TheMightyDucks'', one of the kids relates to Gordon what happened to their previous coach: A long rant, followed by a sudden clutch at his left arm. Gordon concludes, "Heart attack."
* Averted in the French thriller ''Film/LesDiaboliques'', where the heroine has a disturbingly realistic heart attack. [[HarsherInHindsight Then, a few years later, the actress had one for real...]]
%%* [[spoiler: Gareth]] has one in ''Film/FourWeddingsAndAFuneral''.
* Surprisingly averted in ''Film/DirtyWork'', considering Norm Macdonald's sense of humor; Pops (Jack Warden) calmly asks Mitch (Macdonald) to come over to him, and announces he thinks he's having a heart attack.
* Averted in ''Film/OfficeSpace'' where the hypnotherapist's distress gradually increases before he finally keels over.
* Averted in ''Film/TheWrestler''. Mickey Rourke's character, Randy "The Ram" Robinson, becomes dizzy, vomits, and collapses after a hardcore match. Some time later, he's in the hospital, recovering from surgery.
* In ''Film/OceansEleven'', Saul, posing as a rich European businessman, fakes a heart attack. His act is deliberately theatrical and dramatic in order to distract the casino's security staff and draw attention away from the rest of the team's efforts to break into the casino vault.
* Averted in ''Film/MajorLeagueII'' in two senses: One, Lou's heart attack didn't kill him, and two, none of the players realized he was having a heart attack because he was busy chewing them out at the time.
* Also averted in ''Film/TheBigLebowski'' by poor [[spoiler:Donny]]. Several minutes before he collapses from a massive heart attack, he can be seen in the background of one shot, twitching and flailing his arm in obvious discomfort.
* Averted in ''Film/{{Toys}}''. It's Kenneth Zevo's beanie hat propeller that alert everyone he's having a heart attack. His collapse is actually an accurate portrayal of sudden cardiac arrest.
* Averted in the 2003 remake of ''The Roman Spring of Mrs Stone''. Mr Stone's fatal attack is very subtle and well played.
* In ''Film/{{Yamato}}'', [[spoiler:old Kamio]] has one after reaching the point in the recount where he tries but fails to [[spoiler:save Nishi]]. There are no prolonged dramatics - he makes a pained gasp, reaches out for support and collapses. The others want to turn the ship around even after he recovers and takes his medicine, but he insists on pressing on since they're close to the destination already.
* ''Disney/TheAdventuresOfIchabodAndMrToad'': In the ''Wind in the Willows'' segment, [=MacBadger=] has an attack when he learns that [[spoiler: Toad had traded Toad Hall for a motorcar]].

[[folder:Live-Action TV]]
* ''Series/SanfordAndSon'': Perhaps the most famous, if not MostTriumphantExample of the [=HHA=] was a RunningGag during this 1970s situation comedy, which Redd Foxx perfected as part of Fred Sanford's manipulative, psychological games to get his way. Basically, Fred – when he was greatly upset, wasn't getting his way or was shocked -- would fake a heart attack by clutching his chest and staggering around, yelling aloud something along the lines of "It's the big one! I'm comin' to join ya, Elizabeth!" implying that he was having a heart attack that would be the death of him. Everyone -- particularly his son, Lamont (who in the premiere episode claimed that his father had faked at least two dozen heart attacks beforehand) – learned to ignore Fred. (But a funny one at that.)
** In the AfterShow simply titled ''Sanford'', Fred actually suffered the heart attack he feigned so many times before. The [[TearJerker tearjerking]] scene has him cry out to Lamont instead of his wife. (He survived, but the show was cancelled shortly afterwards.)
** However, this became HarsherInHindsight considering that Redd Foxx died of a heart attack while on set of ''The Royal Family'' (which was to be his CareerResurrection), and the cast and crew around Foxx [[CryingWolf initially thought that he was re-enacting one of these gags.]]
* This gets referenced several times on ''Series/WorldsDumbest'' whenever someone tries to get out of trouble by faking a heart attack, complete with Fred Sanford impressions.
* The ''Sanford and Son'' example was inspired by a gag from the original ''Series/SteptoeAndSon'', which occurred under more-or-less the same circumstances. In an equally tragic FunnyAneurysmMoment, Harry Corbett (who played the ''son'') later died of a heart attack at the age of 57.
* Shown in the 1978 TV miniseries ''Literature/SalemsLot'' when Jason Burke (Matt Burke in the book) manages to force the vampirized Mike Ryerson from his house only to clutch at his chest and wince, staying conscious enough to call an ambulance. This is hinted at during the confrontation as Jason is shown to be visibly terrified and his face gets slowly redder as his breathing increases and he begins to sweat profusely.
* ''Series/EverybodyHatesChris'': Happens to Chris' grandfather during the middle of telling a knock knock joke. Later Chris' little sister complains [[ComicallyMissingThePoint "she never got to hear the end of the joke"]].
* Averted (kind of) on ''Series/BrooklynNineNine,'' when someone uses the phrase "serious as a heart attack" to which the aging, grossly obese Scully responds "Oh, my heart attacks are never serious. I call 'em oopsies." It is possibly to have a heart attack so mild you don't realize you're having one, or suffer only mild symptoms, but of course having a series of them is still a huge problem.
* Parodied in the first episode of the second season of ''Series/TheITCrowd''. One of the characters believes he is going to die, so when he feels a pain in his chest he screams and grabs it. It then turns out it was his phone (which he had "upgraded" the vibration function of), to make matters worse this [[TheFunInFuneral happened at a funeral]].
** Then again in the final episode of the fourth season when the boss (badly) fakes one in a courtroom.
* In the Aussie soap ''Prisoner'' (retitled ''Series/PrisonerCellBlockH'' in some markets, to avoid confusion with ''Series/ThePrisoner'') an elderly convict had a heart condition and would frequently fake attacks in the overblown manner as a distraction for the guards. Her real attacks were always quiet and understated to let the audience know the difference.
* There was a realistic heart attack in one episode of ''Series/That70sShow,'' when [[spoiler:Red found out that Laurie married Fez just so the latter could get a green card.]] No screaming, no spasming, just disconcerting chest pain and shortness of breath. Fortunately, Kitty (a nurse) recognized the symptoms.
* In the MadeForTVMovie of Creator/StephenKing's ''Literature/{{Carrie}}'', her mother's heart attack is shown as a ConspicuousCG internal shot of the heart seizing up. Which was likely due to [[spoiler: Carrie using her telekinesis to give her mother a heart attack while the woman was trying to drown her.]]
* ''Series/SaturdayNightLive'':
** A skit was the Chicago super fans (Bill Swerski's Superfans). Heart attacks were a common occurrence, with at least 25 heart attacks between the four guys. At this point for these guys, they do a little chest clutching (or for Todd O'Connor, chest pounding) and shrug them off.
** In the very first bit of the very first episode. Michael O'Donoghue is teaching english to a foreigner played by Creator/JohnBelushi. Belushi repeats what his teacher says, and then the teacher has the heart attack. Belushi, unfazed, repeats the action.
* The death of Mr. Bruce Foster of Guildford, as seen on ''Series/MontyPythonsFlyingCircus''.
-->"Strewth! Blaaaaaugh..."
* In ''Series/BrothersAndSisters'', the heart attack that kills William Walker in the first episode is a mild version of this trope- he clutches his chest and falls into the pool.
** [[spoiler: Robert [=McAllister=]'s]] one, however, [[spoiler: occurs at the same time as the birth of the son he is about to adopt- he's rushing to his car to get there, features him vomiting and falling over, is done with no IC sound and to the tune of Coldplay's "Fix You"]].
* Averted in the VerySpecialEpisode of ''Series/TheFreshPrinceOfBelAir'', where Uncle Phil clutches his chest with a faraway look on his face, then says "I think I'm having a heart attack" before sitting gently down in a chair.
** Played straight in an episode where Will confronts Judge Robertson after a painful CurbStompBattle in the elections for judge against Uncle Phil. Thanks to a terrible coincidence, Will shouts out that he wishes he was dead mere moments before he has a standard HollywoodHeartAttack, which freaks Will out and Carlton decides to tease him over about.
* Averted in ''Series/{{Friends}}'' when Phoebe first calmly explains her symptoms while having a cigarette before concluding that she's having a heart attack.
* Averted and played straight in ''Series/{{Roseanne}}'', when Dan has a heart attack the day of Darlene's wedding. He's shown getting increasingly stressed throughout the entire episode, along with sweating and his face getting pale. At the very end of the episode, Roseanne finally gets a look at him when he's not trying to act normal and comments on his appearance; Dan tells her that he thinks she should call an ambulance and a terrified Roseanne runs off to do so as he collapses to one knee clutching his chest.
* Miles on ''Series/MurphyBrown'' has a heart attack at his 30th birthday party that's so stereotypical that everyone assumes that he's faking it as a joke.
* ''Series/TheWestWing'':
** During Leo [=McGarry=]'s heart attack during the peace talks at Camp David, he initially appears to simply be short of breath, not showing any signs of pain. Eventually, though, he falls to his knees clutching his chest. [[HopeSpot For a moment]], he manages to get to his feet and begins walking again, even smiling just a bit, playing it off like he just had a massive case of heartburn for another wave of pain sends him back down.
** And then on Election Night as the Vice Presidential candidate, [=McGarry=] suffers one unseen in his hotel room. Given the Secret Service agent outside the door, he dies without much fuss.
* Averted in ''Series/{{Glee}}'', [[spoiler: Kurt's father suffers at heart attack at work, and at first he mistakes it for indigestion, right before he collapses.]]
* ''Series/{{Frasier}}''.
** Lampshaded. In order to get back at Martin for pranking him all episode, Frasier [[MonsterClown dresses up in a hideous clown costume]], grabs a meat cleaver from the kitchen, and jumps out at Martin, who shrieks and collapses in shock at the sight. Frasier laughs it off, saying "Oh come off it Dad, a ''heart attack''?" only to realize that Martin actually ''did'' have a heart attack. It's then subverted, as the heart attack was a very mild one, and Martin gets released from the hospital a few hours after being checked in with minimal effects.
** Averted in a season 10 episode where Niles suffers a "walking heart attack" (very mild with few symptoms), not recognizing it even though he is a fully trained doctor.[[note]]Psychiatrists are medical doctors, so he should have recognized the symptoms.[[/note]] The only symptom was tooth pain.
* Averted in the ''Series/TwoBrokeGirls'' ValentinesDayEpisode "And the Broken Hearts". Earl announces he's having a heart attack as he's leaving work but says he's OK enough to get to the hospital by himself. Max and Caroline nevertheless insist on having Sophie give him a ride.
* Averted in ''Series/ItsAlwaysSunnyInPhiladelphia'', in the episode "Sweet Dee Has A Heart Attack." Dee is extremely casual about the matter, and the guys don't notice that anything is wrong until she collapses.
* Averted in the final episode of ''Series/InspectorMorse''. [[spoiler:Morse]] feels a minor pain in his arm but either fails to realise or (more likely since his cardiologist had given him several warnings earlier in the series) simply chooses not to believe what's really happening. When we next see him, he's lying on the ground and someone is frantically calling 999.
* Averted in ''Series/NurseJackie''. A patient comes into the hospital seemingly well but complaining about pains in her stomach, and when she points to where it hurts Jackie calmly informs her that that is not her stomach and that she just had a heart attack.
* Rose's heart attack on ''Series/TheGoldenGirls'' is preceded throughout the episode by her mentions of fatigue, feeling lightheaded, and sweating. The others as well as Rose chalk up her symptoms to being overworked at her job as well as being in a hot room at the high school reunion that they crash later in the episode. It all culminates with Rose clutching her left arm and falling to the floor.
* ''Series/ModernFamily'': In opening of the Season 4 Halloween episode, three children and a parent come to the Dunphy house to trick-or-treat. Using professional make up and blood effects, Claire scares the children by hiding a bloody arm under her blouse, pushing it through the center of her chest while holding out her 'guts'. The father instantly clutches his chest and falls over. While retelling the story, Phil is skeptical that she actually caused a heart attack.
* A character suffering this during TheTeaser of the ''Series/TheOuterLimits1995'' episode "The Haven" (and the complete apathy of others characters alerted by an AI to the incident) kicks off the plot. It comes complete with chest-clutching, pained moaning and protracted flailing.
* A villain of the week on ''Series/NCISLosAngeles'' does this whenever he's about to be arrested. Kensi almost falls for it the first time; each time afterwards, everyone just wants him to knock it off.
* Averted in ''Series/SeventhHeaven'' when Reverend Camden simply stands quietly during a scene while other thing happen, gripping his arm as if in mild pain, then looks scared and says "I think I'm having a heart attack."

[[folder:Professional Wrestling]]
* In kayfabe, the most famous example was Wrestling/JakeRoberts' confrontation with Wrestling/AndreTheGiant during an installment of the WWF's ''Saturday Night's Main Event''. Andre had just interfered in Roberts' match against Rick Rude, prompting Roberts to bring his large python, Damien, into the ring. Andre immediately stared in terror and begged Roberts off, but Roberts advanced on Andre and eventually threw Damien on top of him. Andre immediately screamed in terror before eventually clutching his chest and selling a massive, painful heart attack that briefly caused him to lose consciousness. Moments after Roberts left the ring, medics revived Andre and helped him to the back. Of course, Andre made a "full recovery," and a story about the Eighth Wonder of the World's past extreme fear of snakes was conceived to sell this well-received feud with Roberts. Throughout their feud, Andre would suffer "chest pains" (or at least clutch his chest) on several occasions when Roberts came to the ring, sack or no sack.
* Averted in Wrestling/RicFlair's famous heart attack angle in late 1998 Wrestling/{{WCW}}.
* In 2003, a feud between WWE Divas Torrie Wilson and Dawn Marie erupted from Wilson's father, Al, suffering a massive, fatal heart attack (on-screen) while having [[OutWithABang aggressive sex]] with his bride, the much younger Dawn Marie, who was just five years older than Torrie, on the night of their wedding.
* Teddy Long was about to get married "live" on ''Smackdown!'' As he was about to say "I do," he had a hugely fake HHA and collapsed.
* While many times "Hollywood heart attacks" are indeed used to advance angles, there are many real-life aversions where wrestlers or personalities actually suffer heart attacks during their matches. These may or may not be linked to pre-existing heart conditions, but the dramatics that often accompany [=HHA=]s are not always seen or even apparent ... often this will only be known after the victim stops selling or responding, or otherwise doesn't move for a certain amount of time. While more often than not the victim is able to be revived and makes a recovery, but often not enough to resume a ring career, there were other cases where the wrestler doesn't make it. Examples:
** Wrestling/BuddyRogers' real-life (off-screen) heart attack, at the young age of 42, suffered just days after he was named the newly founded World Wide Wrestling Federation (as the WWE was known then) Heavyweight Champion, was written into a storyline that saw him lose the title to Wrestling/BrunoSammartino in a mere 48 seconds on May 17, 1963, at Madison Square Garden, New York. That said, the heart attack explanation is disputed, due to lack of television footage, accurate records and the strict maintenance of kayfabe during the early-to-mid 1960s; stories range from promoters forcing Rogers into a match where he would drop the title, Rogers simply wanting to concede to "get it over with," to one promoter allegedly kidnapping an ailing Rogers from the hospital to wrestle his prescheduled match against the immensely popular Sammartino, to even Sammartino's own explanation that Rogers had never suffered a heart attack but was refusing to cooperate with promoters who wanted a more charismatic, younger star to be the champion. Assuming his heart attack was legit, Rogers recovered enough to battle his way to the No. 1 contender's position, even scoring a deciding fall pinfall of Sammartino in a tag team match during the summer of 1963, but – apparently still recovering and unable to take the rigors of a full-time schedule – he retired from active competition shortly before a 1-on-1 rematch for the title, and his friend – a villain named Wrestling/GorillaMonsoon – wrestled in his place. Rogers only wrestled occasionally thereafter, and eventually became known to newer fans as the manager of Wrestling/JimmySnuka in the 1980s WWF.
** "Iron" Mike [=DiBiase=], the father of Wrestling/{{Ted DiBiase}}, suffered a massive heart attack during his match July 2, 1969, in Lubbock, Texas against Man Mountain Mike; when other wrestlers (including Man Mountain Mike), ring attendants, the referee and the promoters realized what was happening, the match was stopped and [=CPR=] was performed, but [=DiBiase=] died that night at the hospital at the young age of 45; his death was later linked to a pre-existing health condition.
** [[TearJerker Heartbreakingly]] averted on a 2012 episode of Raw. At one point during a match, commentary fell silent with mostly snoring coming from Wrestling/JerryLawler's end. Wrestlig/MichaelCole later reported that he had indeed suffered a heart attack. Mercifully, he got better.

[[folder: Puppet Shows]]
* In ''Franchise/TheMuppets All-Star Comedy Gala'' at the 2012 Montreal Just For Laughs Festival, the Swedish Chef paid homage to the festival's location by making poutine. He tasted a tiny amount and immediately had a Hollywood Heart Attack. Crazy Harry revived him with a MagicalDefibrillator, and he tried a bit more and with the same result.
-->'''Kermit''': You know, most people stop eating that stuff after the ''first'' heart attack.

[[folder:Stand-Up Comedy]]
* Creator/RichardPryor did a famous bit about having a heart attack on his front lawn.
** Creator/GeorgeCarlin did a bit about his two heart attacks that directly referenced Pryor's heart attack.
--> '''Carlin''': You'll be pleased to know I lead Richard Pryor in heart attacks two-to-one. Rich, however, leads me a stunning one-nothing on burning yourself up. Actually, here's what happened: He had a heart attack and then I had a heart attack, then he burned himself up, and then I said "Fuck that, I'm gonna have another heart attack."
* A Philippine gag show did a(n intentionally inaccurate) skit about Music/MichaelJackson's death where he sighs, saying that he's tired, and then has a dance-like seizure (complete with "Aoww!" as an exclamation of pain) before succumbing to the heart attack. Yeaaaa[[DudeNotFunny aaaaah]].
** Made stranger by the RealLife claims in the hours following his death that Michael had a heart attack... when it had only been said that he had suffered cardiac arrest. The media seem to live on this trope, with anything heart-related (or even chest-related) being called a "heart attack", because obviously viewers are far too stupid to realize that more than one thing can go wrong with the heart.

[[folder:Tabletop Games]]
* A heart attack in ''TabletopGame/{{GURPS}}'' is code for sudden death (one supplement calls ''any'' major organ failure a "heart attack"). It's only possible to survive if someone resuscitates you within a few minutes of the attack.

* ''Franchise/MetalGear'' has a few. Most are triggered by the FOXDIE virus, so it's possible that it deliberately aggravates the symptoms to make it clear why the offender is dying. (When Anderson dies, he realizes what's happening and complains that he wasn't supposed to be infected.)
** The Webcomic/{{Hiimdaisy}} comics also included this with visible "HNNNNNNNNG" quote.
* Despite the "[[CutenessOverload HHHHHNNNNGGGHHH]]" meme (see below), ''VisualNovel/KatawaShoujo'' averts this with Hisao, the DeadpanSnarker protagonist who suffers from congenital arrhythmia. Poor Hisao suffers palpitations when stressed or overworked, putting a spin on typical DatingSim tropes like the CrashIntoHello or LoveConfession.
* ''VideoGame/GhostTrick'': It isn't specifically named as a heart attack, but the thrashing chest-clutch [[spoiler: the Justice Minister]] performs seems to match the stereotype. His life is saved by [[spoiler: stabilizing him with a drink of water and then getting him his pill bottle, which he proceeds to practically empty like a bag of Skittles.]]
* In ''VisualNovel/TokimekiMemorial 2 Substories: Leaping School Festival'', this happens to the owner of the restaurant Akane Ichimonji works at part-time, under the eyes of both her and the protagonist, [[HeroicRROD due to overwork]]. He survives thanks to their quick intervention, and this event kickstarts Akane's storyline, as she and the protagonist decide to take care of the restaurant until the owner has fully recovered.
* In ''VideoGame/MitsumeteKnight'', [[spoiler: [[HospitalHottie Teddie Adelaide]]]] suffers one during one of her Events. Said Event is actually the one you need to see in her storyline in order to get her HappyEnding, as she explains there her heart condition, and how this motivates her to become [[spoiler: a doctor that can heal anyone from any illness]], as she's lying on a bench, clutching her heart in pain.
* Oliver's mom has one in ''VideoGame/NiNoKuni'' not long after rescuing him from drowning.
* In ''VideoGame/DarkestDungeon'', heroes accrue stress damage as part of the game's SanityMeter. If their HeroicWillpower doesn't come forth and they instead suffer a SanitySlippage, the way is free for ''more'' stress to build up. If it reaches 200, they're thrown straight into [[LastChanceHitPoint Death's Door]]. If they're already there, [[NoSavingThrow they automaticaly die]].
* In ''VideoGame/TeamFortress2'', the Soldier occasionally shouts about having a heart attack when he collects powerful spells in the [[HolidayMode Halloween game mode]]. He's not ''actually'' having a heart attack nor does he display any symptoms, but he seems to believe that he's having one (or is at least prone to them) because he keeps stealing [[MonsterRoommate Merasmus]]' CameBackStrong pills believing that they were prescription heart medication. Bear in mind that the Soldier is a notorious CloudCuckooLander, so trying to fathom a ''reason'' for this behavior is just asking for a headache.
* In ''Videogame/{{Fallout 2}}'', if you end up getting Miria and Davin killed after being forced into a ShotgunWedding with them, you can tell their father about it, which causes him to die of a heart attack.
* In the Hokkaido stage of ''Videogame/{{Hitman|2016}}'', one of the possible ways of killing [[spoiler:Erich Soders]] is to show up at his operating table in 47's classic suit. The shock coupled with his weak condition is enough to kill him on the spot.

[[folder:Web Originals]]
* [[MemeticMutation There's a 4chan meme wher]][[http://knowyourmeme.com/memes/hnnnnnng HNNNNNNGGGGGGHHHH]] This meme(associated with the page image) has a few variations: The InterruptingMeme, [[BrainBleach "Right in the Childhood!"]], and a response to CutenessOverload.
** Now often associated with ''VisualNovel/KatawaShoujo'', where the protagonist of KS has a heart condition and is surrounded by [[{{Moe}} cute girls]] [[DisabledLoveInterest with special needs]]. And the joke is that the {{Cuteness Overload}}s he runs into are just plain tough on his condition.
* Website/TheOnion reported that [[http://www.theonion.com/articles/doctors-say-average-heart-attack-victim-doesnt-clu,36532/ "Doctors Say Average Heart Attack Victim Doesn’t Clutch At Chest Nearly Dramatically Enough."]]

[[folder:Western Animation]]
* ''Series/TheElectricCompany1971'': The classic "Who is it?/It's the plumber, I've come to fix the sink" short (actually an animated segment within this live-action show). A plumber arrives at the house to repair some faulty plumbing in the sink, but when he knocks on the door only gets [[NotInFrontOfTheParrot a squawky parrot]] asking "Who is it?" The humor comes with the plumber being unaware that nobody is home, and thinking he's being pranked as a result by no one answering the door/not being let in. During the course of the minute-long short, the plumber goes from professional, to firm, then geniunely annoyed to -- finally having lost his patience -- the trope-making heart attack with each "Who is it" response from the parrot. The plumber clutches his chest, then his neck as he gasps for air and contorts severely before passing out. Finally, the mistress comes home and sees the plumber, unconscious and asks, "Who is it?" The parrot: "It's the plumber. He's come to fix the sink!" and then he whistles before the IrisOut.
* ''WesternAnimation/TheSimpsons''
** The episode "Homer's Triple Bypass" centers around Homer's health and – due to his poor health habits – that he is a prime candidate for a heart attack. Indeed, early in the episode, he suffers chest pains when eating fatty foods (he simply calms theme with a drink of beer – "that ought'a put out that fire!") to being caught behind slow-poke driver Hans Moleman (after which he mistakes the loud thumping in his heart for transmission problems, arriving at said conclusion after consulting with a mechanic). Then, he suffers his dramatic (and comedic) heart attack in Mr. Burn's office; viewers are treated to an amplification of his heart beating wildly out of control, and then shattering into pieces. Later, Homer suffers another heart attack when he learns how much the first heart attack is going to cost him, which raises the cost of the operation further.
** The Season 1 episode "Krusty Gets Busted" features a flashback of Krusty suffering an on-camera heart attack during a live broadcast of his show, with children in the audience - not understanding what was going on – laughing wildly at the clown contorting and yowling in severe pain, thinking he's doing a comedy routine.
** There's another episode when Homer takes Lisa out for a wild drive to show her the high and exciting life. He says something like
--> "Your heart's pounding like crazy now, isn't it?"
--> "Yeah, Dad, it is!"
--> (Cheerfully Oblivious) "That's how mine feels ALL THE TIME! I bet your left arm's tingling, too!"
--> "Uh, Dad..."
** And it's on to the next adventure.
** Oddly averted at the end of "The Old Man and the Lisa", in which, after Lisa tears up the check from Mr. Burns, Homer promptly drops to the ground without a sound. It's then played a bit more straight while he's in the hospital bed and is told that he divided Lisa's take wrong.
** In one episode Lisa says that Springfield has the highest rate of heart attacks, cuts to a scene showing Moleman clutching his chest, and then Nelson clutching his arm before falling.
--> '''Hospital PA''': ''Code Blue. Code Blue. Code Blue.''
** Comic Book Guy gets a turn.
--> "Oh! Breath...short! Left arm...numb! Can't go on...describing symptoms...much longer...eggghhhhh..."
* The Pixar short ''Geri's Game'' has Geri pretend to do this to distract his opponent (he's playing against himself) in a game of chess.
* In ''WesternAnimation/TheSpectacularSpiderman'', this is averted when [[spoiler:Aunt May has a heart attack after [[CrowningMomentOfAwesome standing up to some villains]]. She faintly mentions that her left arm feels numb, and then collapses]].
* Used on purpose in ''WesternAnimation/FamilyGuy''. Quagmire needs to get out of a marriage. So he walks in the room and screams "Aaaaaahhh! Heart attack!" while clutching his chest to fake his death. But she isn't ''quite'' convinced, so Peter [[DiscussedTrope mentions]] [[DefiedTrope people]] [[NoDeadBodyPoops void their bowels when they die]]. Cut to outside the house, and the guys yelling "Oh!!!" and Peter saying "What a jackass!"
* ''WesternAnimation/FatAlbertAndTheCosbyKids'': Averted in a VerySpecialEpisode where Dwayne ignores a school assembly talking about heart attacks and how to respond to them. This comes back to haunt him when a street bum he's venting his frustrations to about the inaneness of school assemblies – the bum agrees – suddenly clutches his chest and collapses. Fortunately, the other Cosby Kids, who were nearby, had paid attention, hear Dwayne yelling for help (and had also witnessed the heart attack) and are able to help save the bum's life by calling 911 and performing [=CPR=] ... all while a stunned, shaken Dwayne can only watch.
* ''WesternAnimation/MickeyMouse'': A very unusal yet funny aversion in "[[Recap/MickeyMouseS2E9TheBoilerRoom The Boiler Room]]". When Mickey goes into the boiler room to fix a heating problem, his heart starts beating very loudly and he tells it to knock it off. It then stops beating entirely and Mickey begins to have a heart attack. It starts beating again after Mickey tells it he changed his mind.
* Averted in ''WesternAnimation/{{Daria}}''. Jake, during a mini rant, starts turning red and notes that he can't feel his arm right before collapsing. It's revealed that he only had a minor heart attack and the doctors said he would be fine eventually, but it was enough to give the family a scare [[LargeHam (Jake overreacting to it didn't help)]]. Later episodes do occasionally mention him being put on a diet afterwards, which is common among heart attack survivors.
* ''WesternAnimation/BatmanBeyond'' begins with a DistantPrologue showing Bruce Wayne's final battle as Batman. A heart attack incapacitates him at a crucial moment, forcing him to resort to [[BatmanGrabsAGun brandishing a gun]] to save himself. Bruce's reactions after the fact indicate that it was horror at this act rather than his failing health that finally convinced him to quit.