What is Ball Sack Heart Attack?
1.
An exclamation that expresses a generalized intensity, usually, but not necessarily, negative in nature.
Very similar in usage to "fucking A," but with a slightly more negative and sexual connotation.
"Joe, I'm breaking up with you."
"Ball sack heart attack!"
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Popular internet saying brought upon by one Barron Shiel and one James Duffy, inspired by the singer Miley Cyrus (or Hannah Montana) use..
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to take an extremely large shit after a large meal, sleeping, ect.
Holy shit! I gotta take a dig before I shit my pants!..