"Heart Attack" is a collaborative song by Young Thug and Gucci Mane. The lyrics revolve around the theme of desire and the intense emotions that can come with it, comparing the effect of their love interests to a heart attack. In the hook, Young Thug expresses that being with his partner gives him a heart attack, emphasizing the excitement and intensity he feels when they are together. He urges his partner not to slow down but to continue captivating him, as he wants to experience the rush of a heart attack. The phrase "Gotta act just like you know you giving me a heart attack" implies that they should be aware of the impact they have on him. Young Thug also mentions his attraction to materialism, referencing his desire for luxury brands and his love for expensive items. He portrays himself as a pimp, reveling in his partner's physical appeal and comparing her to a bomb. However, he reveals a sense of regret towards the end, stating that he used to feel invincible like Superman but now feels emotionally drained and "super dead." In Gucci Mane's verse, he continues the theme of desirability. He highlights the attention he receives from women and asserts that others should ask these women about his reputation. He also references his success and wealth, mentioning his Lamborghini and his ability to attract women. Gucci Mane emphasizes that his love interests willingly choose him over others, enhancing his confidence and status. He concludes with a mention of his dark-skinned attractive friend, who makes other women in the club "choose up." Overall, the song portrays the intense desire and emotions that Young Thug and Gucci Mane feel towards their love interests, comparing them to a heart attack and celebrating their physical attractiveness and materialistic lifestyles.