<prompt> A 65-year-old diabetic lady complains of bloating for 3 hours. What is the diagnosis?Anterior wall MITakotsubo cardiomyopathyEarly repolarization variantArtifact in V3-V4  <response>: Ans. a Anterior wall MI. Baseline artifact is present in lead VI. There is sinus rhythm at a rate of approximately 90 beatsmin. The axis is leftward. Intervals are normal. In addition, there are Q waves and striking ST-segment elevation in the anterior leads V3, V4, and V5 consistent with acute myocardial injury and infarction in this territory. The ischemic changes including ST-segment elevation and Q-wave formation in leads V2 through V4 are present in the anterior leads and most likely represent occlusion of the left anterior descending coronary artery. There are broad, deep Q waves present in leads II, III, and aVF consistent with inferior myocardial infarction of undetermined age. Takotsubo cardiomyopathy or broken heart syndrome is due to catecholamine toxicity and is characterised by bal- looning of the apex of the heart. 