Myocardial Infarction rarely occurs in a patient with a recent normal Treadmill Test [1]. The case presented in this study describes a 54 year old male Indian who presented with an acute myocardial infarction in spite of having a normal treadmill test, normal electrocardiogram and relevant blood tests. The conclusion drawn from this study is that treadmill tests though very important for cardiological evaluation, a negative test does not rule out an underlying Coronary Artery Disease.

Keywords: Myocardial Infarction; Electrocardiogram; Coronary Artery Disease.