Abstract
The diagnosis of ankylosing spondylitis can be challenging when it mimics myocardial infarction symptoms. This case report describes a 30-year-old female patient who primarily presented with mid-back pain that radiated to her shoulder, bringing up the possibility of silent myocardial infarction. Additional investigations confirmed the existence of ankylosing spondylitis. The proximity of the vertebral column to vital organs might complicate such a diagnosis. This case report emphasizes the need to consider ankylosing spondylitis as a differential diagnosis in patients with odd symptoms resembling myocardial infarction, especially where the risk factors or characteristic signs are present. Early recognition of ankylosing spondylitis can assist in timely management and prevent unnecessary interventions.