Tako-tsubo syndrome: Report of a case with mild electrocardiographic changes but with multiple wall motion abnormalities

We report the case of a 60-year-old woman admitted to our hospital for typical chest pain with only mild ST segment depression in the anterior precordial leads but with left ventricular akinesia of the mid-infero-postero-lateral segments with sparing of the base and of the apical septum. Coronary angiography was normal and the patient was dismissed from our hospital after echocardiographic normalization in spite of persistent ECG repolarization changes. We conclude that echocardiographic examination allows recognition of atypical forms of “tako-tsubo” disease in presence of only subtle and non-specific repolarization changes.