Thread by @kevin_domingues

Elderly ♀️.
Syncope at home.

🚫No significant head trauma.
🚫No chest pain.
🏥Admitted on a Friday night.
🧪hsTnI on Saturday >12.000 ng/L. Other labs (including K+) within normal range.

What's happening over the weekend?
⬇️poll below

Sure, complete AV block. But what else?
@juliogilpereira @AslangerE @smithECGBlog @EM_RESUS @RobertHermanMD @The_Nanashi_O @ecgrhythms @EcgOxford

#ECGeducation

Oh, here's the #echofirst, not the best acoustic window, but enough for some clues.

@NMerke @alexsfelixecho @VerwerftJan @echotalk @echo_stepbystep @EchoSoliman @Ivan_Echocardio @RodrigogpLima @DrRajeshG1 @dr_benoy_n_shah @StellEkaterina @ecocardio_cl

Thanks everyone for voting and commenting.
No CAD. No ICH. This was in fact Takotsubo. Not likely the cause of the AV block, but most likely a consequence of the associated syncope.

Very prominent T-wave inversion + prolonged QT + those WMA almost clinch the diagnosis!