We describe a case of a 56 year old man with myopericarditis complicated with 
cardiogenic shock within first 3 days, mimicking on admission acute myocardial 
infarction with ST elevation in inferior ECG leads. Additionally, patient 
presented hyperthyroidism and totally decompensated diabetes mellitus. He 
required during the first 3 days intravenous infusion of inotropic agents. 
Cardiac enzymes levels were elevated. Akinesia in mid-inferior and mid-posterior 
regions in ECHO was observed. On the 10th day ST segment elevation in I, II, 
V3-V6 and ST depression in aVR was observed in ECG. After stabilisation patient 
underwent coronarography which showed normal coronary arteries. The final 
diagnosis was acute myopericarditis complicated with acute heart failure and 
cardiogenic shock.