A 75 year-old man with no significant prior medical history was transferred to our hospital for emergent management of inferior ST-elevation myocardial infarction. He had presented to a regional hospital with acute onset shortness of breath and mid-chest pain on going for 2 h prior to presentation. He was emergently transferred to our hospital for further management of Acute Coronary Syndrome (ACS). On arrival, his blood pressure was 108/71 mm Hg. However, he was tachycardic with a heart rate 140 beats/min and hypoxemic with oxygen saturation of 84% on ambient air.