Myocardial infarction is manifested by various manifestations. Chest pain is the most common manifestation of it. But in rare cases there is a strange demonstration and myocardial infarction, especially in patients with risk factors for cardiac disease must be considered. We report a case of a 34-year-old woman who come to hospital with epigastric pain, loss of consciousness and jerky motion. After supplementary studies ectopic pregnancy and myocardial infarction were diagnosed. Although the age and the symptom of the patient was not suitable for myocardial infarction, but because of the existence of cardiac risk factors Considering cardiac issues seems to be important.