Repeat transthoracic echocardiography 4 weeks later showed resolution of the dyskinetic anterior wall and pericardial effusion, with improvement in ejection fraction. The appearances, combined with a spontaneous delayed resolution, are consistent with Takotsubo (stress-induced) cardiomyopathy. The location is atypical as the apical segments are usually involved in this condition. However, three other distinct patterns are recognized namely biventricular, mid-ventricular (as in this case), and basal.

The majority of patients with Takotsubo cardiomyopathy are post-menopausal women, and a stressful trigger can be identified in about 70%. On MRI, myocardial edema and a lack of ischemia or fibrosis (as evidenced by lack of enhancement at late gadolinium imaging) are expected findings.