thot attack

Play on words for heart attack. A thot attack is when your heart physically hurts because of a thot. This can happen when a thot breaks your heart.

John: Hey man, you good? You look out of it.
Mark: Yea, I'll be okay, just suffering from a thot attack.
John: I told you Mary was a thot!
Mark: Shouldn't have let my guard down on these trifling hoes.