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Reportedly patrons thought it was a stunt and started taking photos. Restaurant owner Jon Basso called 9-1-1 and the customer was taken to the hospital. On February 11, 2012, a customer suffered what was reported to be an apparent heart attack while eating a 'Triple Bypass Burger' at the restaurant. The Arizona location closed shortly thereafter, on May 31, 2011. The restaurant's spokesman, 575-pound (261 kg) Blair River, died on March 1, 2011, aged 29, from complications of pneumonia. The Las Vegas location opened in October 2011. The Dallas restaurant closed in October 2011 due to non-payment of rent, and the restaurant's official website was scrubbed of any Dallas location information. The Arizona location closed on May 31, 2011, with a Heart Attack Grill opening in Dallas, Texas earlier that month.

The Heart Attack Grill was founded in 2005 in Tempe, Arizona, by Jon Basso, with the declared intent of serving 'nutritional pornography,' food 'so bad for you it's shocking.' The idea came when writing a marketing thesis about fitness training studios, as he became inspired by stories about his clients cheating on their diets.

Those who do not finish their meal receive a paddling by one of the 'nurses' with the option to buy the paddle afterwards. Each patient dons a hospital gown and wristband before ordering. The establishment is a hospital theme restaurant: waitresses (' nurses') and waiters (' doctors') take orders (' prescriptions') from the customers (' patients'). One of the restaurant's promotions is a reward for customers who finish a Triple or Quadruple Bypass Burger, after which they are placed on a wheelchair and wheeled out to their vehicle by their 'personal nurse'. Beverages and to-go orders are excluded and sharing food is also not allowed for the free food deal. Ĭustomers over 350 lb (160 kg) in weight eat for free if they weigh in with a nurse waitress before eating.

Customers can also order unfiltered cigarettes, or candy cigarettes for children. It includes 'Single', 'Double', 'Triple', 'Quadruple', all the way up to 'Octuple Bypass' hamburgers, ranging from 8 to 32 ounces (230 to 910 g) of beef (up to about 8,000 calories (33,000 kJ)), all-you-can-eat ' Flatliner Fries' (cooked in pure lard), beer and tequila, ' butterfat milkshakes,' and soft drinks such as Mexican-bottled Coca-Cola made with cane sugar. The menu is generally themed around items that are exceptionally high in calories and fat. It makes a point of serving food that is very high in fat, sugar, and cholesterol in other words, food that, if eaten frequently, will increase the chance of a heart attack, hence the name. The Heart Attack Grill is an American hamburger restaurant in downtown Las Vegas, Nevada (formerly located in Chandler, Arizona).

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