Myocardial infarction is a leading cause of mortality worldwide, with chest pain being the hallmark symptom. However, atypical presentations can delay diagnosis and treatment, increasing the risk of complications. Herpes zoster, commonly known as shingles, typically presents with dermatomal pain, which can overlap with angina, leading to misdiagnosis. In this case report, a 67-year-old female with no prior comorbidities was diagnosed with Herpes zoster one week before presenting to the emergency department with persistent chest discomfort, weakness, and palpitations is presented.