This 25-year-old male presented with chest pain and was diagnosed with a Killip class II STEMI. He reported squeezing chest pain radiating to his left shoulder and back for 1 day along with sweating, shortness of breath, and vomiting. Examination found decreased breath sounds and a grade III heart sound. ECG showed ST elevation in leads V2-V6. The patient was treated with medications, monitored, and planned for further tests and follow up.