And you know me, I get on this bitch and have a heart attack

from Lil Wayne (Ft. Drake) – Right Above It Lyrics on Rap Genius

Meaning

Just another way of saying that when he raps on the beat, he goes crazy (while heart attacks aren’t themselves crazy, the foaming at the mouth and flailing around that occurs evokes the same imagery as somebody just losing control)

To help improve the meaning of these lyrics, visit “Right Above It” by Lil Wayne (Ft. Drake) Lyrics and leave a comment on the lyrics box