Extracorporeal schock wave lithotripsy is a frequently preferred therapy modality for urinary system calculus. Ventricular arrhythmias occurring during or after lithotripsy procedure have been reported. However, myocardial injury and ischemic complications due to lithotripsy are very rare. We are reporting a young patient who had angina, ventricular arrhythmia, and ischemic findings in electrocardiography and Tl-201 perfusion scintigraphy following extracorporeal lithotripsy.