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If a friend actually had a heart attack, then yes, I'd be inclined to cut him some slack, especially if he's more apologetic once everything settles down for him again.
However, I'm personally skeptical that there was any friend with a heart attack to begin with. Seriously, who leaves a note under someone's door that their friend has had a heart attack? He obviously owns a cellphone, someone would have called about the heart attack, and left a voicemail if his phone was out of minutes (I don't know exactly how the cellphone plans work in Ozzie-land, but here you can get your missed messages once you've purchased more minutes.)
Personally, I'd assume the relationship is over, and if he contacts you later trying to make it up to you, then you can decide how sincere he seems and go from there. But to me it looks an awful lot like he's trying to break it off but he's too cowardly to just say he's not interested, so he's fabricating drama.
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