Takotsubo Cardiomyopathy ECG Review

The ECG findings in Takotsubo cardiomyopathy ― also known as stress-induced cardiomyopathy, broken-heart syndrome or apical-ballooning syndrome ― are nonspecific, meaning there is not one typical ECG appearance to diagnose this disease.

Potential ECG findings include the following:

While Takotsubo cardiomyopathy can occur in the setting of a normal ECG, the findings most commonly mimic ischemia in the anterior distribution. Below is an ECG from a patient with Takotsubo Cardiomyopathy:

Here is another Takotsubo ECG ― this one showing a typical LBBB pattern.

ECG Examples:

Left Bundle Branch Blocks
Anterior Wall Myocardial Infarctions

1. Chou’s Electrocardiography in Clinical Practice: Adult and Pediatric, 6e
2. Surawicz B, et al. AHA/ACCF/HRS Recommendations for the Standardization and Interpretation of the Electrocardiogram. Circulation. 2009; doi:10.1161/CIRCULATIONAHA.108.191095.