Serotonin Syndrome Induced Tako-Tsubo Syndrome

Figure 1

ECG (a): ECG on presentation. Sinus tachycardia with biatrial enlargement, rightward axis deviation, and septal infarction of indeterminate age with diffuse ST segment depressions in leads II, III, aVF, and V3-V6. ECG (b): repeat ECG, 6 hours after admission. Normal sinus rhythm with a prolonged QTc of 631.

(a)

(b)