Case Presentation: A 44-year-old male with a history of opioid use disorder and intravenous drug use (IVDU) presented to the emergency department with chest pain and malaise. On presentation, his temperature was 103.3 degrees Fahrenheit, blood pressure was 86/58 mmHg, and heart rate was 157 beats per minute. The initial electrocardiogram showed multi-lead ST-elevations and [...]