Cryptic crossword clue
Dead heart, say, is actually about right 7

The most common and most likely answer to this crossword clue is the 7 letter word INFARCT

I've seen this crossword clue in The Guardian
I
N
F
A
R
C
T

Buddy explains!

The straight part
We know that "Dead heart, say" is the straight/definition part of the clue. The straight part is often a synonym or definition, in this case dead heart, say = infarct.
The cryptic/wordplay part
In cryptic crossword there's often an wordplay/cryptic part as well.
This part involves a more complex hint, such as an anagram, homophone, hidden word, etc.
Sadly, We don't have an explanation for this specific crossword clue yet.

What does INFARCT mean?

INFARCT noun
  1. An area of dead tissue caused by a loss of blood supply; a localized necrosis.

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