A 35-year-old male with a past medical history of hypertension, asthma and hyperlipidemia presented to the emergency department with a chief complaint of syncope preceded by headache. On physical examination, no focal neurologic deficits were found. His vitals at that time showed a blood pressure of 141/82 mmHg, heart rate of 48 BPM, and respiratory rate of 19 BPM. His short ECG showed sinus rhythm and pauses with junctional escape beats and atrial premature contractions. Laboratory investigations were within normal limits. Case was referred to Cardiology for the management of sinus bradycardia, sinoatrial block, and junctional escape. Long term ECG monitoring with SmartHeart showed SA Exit Block, doctor advised frequent follow ups to check with patient symptoms and admitted for 2 days and operated with a transvenous pacemaker. Timely diagnosis and intervention “Could Save a Life”.