Background: Diseases and conditions related to myocardial infarction are frequent causes of emergency visits and lead to delayed diagnosis of other common conditions. Case Report: This is a case of a 23-year-old Bangladeshi young man who was working on an offshore oil rig based in Kuwaitas a manual labour. He had a cardiac arrest associated with malignant arrhythmias and ischemic cerebral infarction which was mostly contributed by an exertional heatstroke. The outside temperature during the event was nearly 45 degrees Celsius. He was initially treated with a provisional diagnosis of acute myocardial infarction. Patient developed multi-organ damage and recovered with intensive care. Ischemic cerebral infarction related symptoms improved steadily. Conclusion: This article point towards the importance of proper history taking and prompt diagnosis of heat stroke for the proper management during initial hours of presentation.

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