It's just the mc's speculation: she thinks the first heart attack might have killed the original Sera, and that her twin's death was the reason why she, the mc, felt the attack too, to the point she even got "pulled" to her fill her twin's recently emptied body... But she's unsure if that's really how it went (and we all know it'll turn being that the twins unconsciously switched places in order to avoid the curse, since the curse was weakened bc the targeted soul was no longer the one occupying the targeted body.
Chapter 70 confirms that Shin Sera did pass away. The shaman tells MC that she needs to swap back due to the body practically being a corpse and unable to sustain a soul for prolonged periods of time. I feel so bad for Shin Sera. She had her entire life ripped away from her and forced to be miserable all because of someone else who felt entitled to her destiny. Justice for my girl seriously ╥﹏╥

I'm a bit confused. I felt like there's scene where sera twin is in camatose in a hospital bed? She's really dead or they swapped bodies at the time she have heart attack?