5 Key Takeaways

• 1

  A 67-year-old woman developed Takotsubo cardiomyopathy 2 weeks after testing positive for influenza A.

• 2

  Despite ECG changes, elevated troponin I, and a left ventricular ejection fraction of 30%, catheterization showed nonobstructive coronary artery disease.

• 3

  Left ventriculography showed severe apical hypokinesis with hyperdynamic basal segments, characteristic of Takotsubo cardiomyopathy.

• 4

  She initially received aspirin, clopidogrel, and intravenous heparin, then was discharged on a statin and an angiotensin-converting enzyme inhibitor with prompt cardiology follow-up.

• 5

  Potential Takotsubo cardiomyopathy complications include heart failure, cardiogenic shock, arrhythmias, and thrombosis.