Science and Education Publishing American Journal of Cardiovascular Disease Research 4 2 2016 9 8 Acute Inferior Wall ST-Elevated Myocardial Infarction with Normal Coronary Arteries 18 20 EN Braghadheeswar Thyagarajan Department of Internal Medicine, Monmouth Medical Center, Long Branch, NJ, USA Muhammad Azharuddin Rikka Banayat AJCDR2016422 10.12691/ajcdr-4-2-2 2016 3 31 2016 6 22 2016 9 6 A 59-year old woman presented to the ER complaining of chest pain. ECG showed sinus rhythm at the rate of 72 beats per minute and ST segment elevations in Lead II, III, aVF. A Code STEMI was activated for emergent cardiac catheterization, which revealed the patient had normal coronary arteries with normal left ventricular systolic function. During the procedure, her symptoms of chest pain resolved. ECG, urine toxicology, and echocardiogram tests were done in the ICU, which were normal. The patient was eventually discharged home and scheduled to follow up with cardiology and primary care physician.