In acute coronary syndromes, timely revascularization of the obstructed artery is crucial. In young patients, acute myocardial infarction can have a very severe evolution and is frequently
associated with cardiogenic shock. We present the case of a 36-year-old male patient, smoker with no other apparent risk factors for coronary artery disease, who suffered a cardiac arrest while playing tennis. Emergency coronary angiography revealed acute occlusion of the left anterior descendent artery, which was promptly revascularized. The patient had a good
clinical evolution and was discharged after six days. The case underlines the importance of a well-functioning emergency system and STEMI network, able to provide life-saving therapy in a timely manner.