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| Name | Herzanfall |
| Category | Steelhead |
| Hook | Daiich #2051 or #2050 Size 1.5 |
| Starting Thread | White 8/0 |
| Tag | Fine Silver Oval Tinsel and Coral Pink Floss |
| Tail | Red-dyed Lady Amherst Tippets |
| Body | 1/2 Hareline Shrimp Pink Flat Diamond Braid, 1/2 Light Claret dubbing (Blended from)Lee Clark?s Red, Purple, and Pink Poly Yarn. |
| Collar(s) | Cardinal Red Mallard Flank under Natural Guinea Fowl |
| Wing | White Calf Tail accented with Pearl Green Lite Brite. |
| Head | Red or Claret Thread |
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Leon Guthrie writes about this fly, "This was a joint effort to commemorate my survival of the 2 heart attacks I sustained, tied by the much admired workmanship of Scotty Howell, the blood red and chosen materials symbolize the network of blood vessels of the heart. Scotty as usual has done a tremendous job."
You can see more of the flies of Leon Guthrie at The Flies of Leon Guthrie, and more of Scotty Howell's flies at The Flies of Scotty Howell.