- HPI: Abdominal pain, no chest pain
- Key ECG: It is possible that it is due to ACS, but the bizarre diffuse T-wave inversions with a very long QT are nearly pathognomonic of takotsubo. (They can also be seen in apical hypertrophic cardiomyopathy, but this patient did not have any such history and previous ECGs were different)
- ⚠️ Note: it is unclear if this case truely represents Takotsubo. Echo revealed no WMA. Cath revealed 3VD for which patient was scheduled for CABG. Link to full case below.
- Source: Dr. Smith’s ECG Blog: 2021-07-31