Myocardial infarction (MI) is a condition associated with ischemic heart disease that can be fatal. It is brought on by sudden obstruction of a coronary artery, which usually results from the formation of a thrombus over an atherosclerotic plaque that has become dissected, ulcerated, or haemorrhaged, and causes myocardial ischemia necrosis. Despite therapeutic breakthroughs, it still has a high mortality rate (10–30%), with many deaths due to ventricular tachyarrhythmias happening in the first few hours; strangely, these can be readily avoided in an intensive care setting but happen before the patient arrives at the hospital. Based only on clinical considerations. The examination of chest pain, the primary symptom of MI, must be understood to recognise the condition. It might be challenging to determine the origin of chest discomfort because it is a symptom that is frequently present in outpatient clinics and emergency rooms.This review highlights the diagnosis and treatment procedures of acute ST-elevation myocardial infarction among Indian patients.