This case involves a middle aged female with no past medical history. She was taken by EHS to an Emergency Room in the state of Nevada, with chest pain/chest burning, diaphoresis, and shortness of breath after riding her bike to work. These symptoms persisted with minimal exertion. The emergency room physician interviewed and examined the patient. The physician conducted an echocardiogram and found no abnormalities. The physician’s final diagnosis was “atypical chest pain” and the patient was discharged home. The patient’s symptoms continued, and she presented to her family medicine physician. The PCP told the patient to immediately go to the Emergency Room where she was again worked up for chest pain. The patient was sent for a cardiac stress test. During the early stages of the test, the patient began to have weak pulses, abnormal rhythm, and agonal breathing. Shortly thereafter, she went into ventricular fibrillation and collapsed. ACLS protocols were initiated, however, the patient expired a short time later.