Timeline	Event
2 months before admission	Developed angina on exertion but avoid medical consult due to fears of contracting coronavirus disease 2019 (COVID-19) infection from hospital visit
3 days before admission	Developed angina at rest but did not seek medical attention
On admission	Presented with severe resting chest pain for 4 h prior to admission Brought in by the ambulance to the emergency room hypotensive and tachycardic
0.5 h after admission	Electrocardiogram showed features of inferolateral ST-elevation myocardial infarction Bedside transthoracic echocardiogram (TTE) showed inferoseptal and inferolateral hypokinesia with echocardiographic features of cardiac tamponade
1 h after admission	An urgent computed tomography aortogram showed possible perforation of the left ventricular (LV) wall resulting in haemopericardium and cardiac tamponade
1–2 h after admission	Coronary angiogram revealed 100% occlusion of mid left circumflex artery Left ventriculogram showed small LV pseudoaneurysm, likely from a contained LV wall rupture Transferred to tertiary centre for urgent surgical repair
4 h after admission	Successful LV free wall rupture repair with a bovine pericardial patch and cardiac tamponade drainage
Day 12	Post-operative TTE showed LV ejection fraction of 50% with wall motion abnormalities in the septum and lateral wall and mild pericardial effusion
Day 20	Patient medically fit and discharged
4 months after (follow-up)	Patient is well and asymptomatic with regular follow-up scheduled