A 33-year-old man was brought to the emergency department with dyspnea, chest pain, and confusion. His symptoms began 2 weeks prior, with intermittent mild anterior chest pain, palpitations, exertional breathlessness, and diaphoresis. The symptoms gradually worsened, and on the morning of presentation he complained of severe chest pain and dyspnea at rest. Several hours later, he was found by his wife on the floor, confused and tremulous. His wife called emergency services and he was transported to the emergency department.