Background : The patients with myocardial infarction (MI) do not only have physiological issues but also suffer from psychological and mental health issues. Objective : This current study aimed to explore and investigate the psychosocial issues in patients with MI.Study type, settings & duration : This pilot study wasconducted inthe Government hospitals of Lahorefrom January2019 to September2019.Methodology : Twenty-five patients were interviewed and items were generated. After following the phases of scale development, a scale of 29 items with a 4-point Likert scale rating was given to MI patients for the pilot study whichwas administered to 200 MI for its validation and demographic variables. Results : By using Principle Component Factor Analysis through Varimax Rotation, the results extracted three factors solutions, for naming the factors like psychosomatic complaints, rational restlessness, and social concerns. The scale resulted in satisfactory internal consistency and concurrent validity.Conclusion : The current research study showed that psychosocial issues are associated with patients suffering from MI and the increase in psychosocial issues is positively enhancing the mental health problems of patients with MI.