Figure 5.
CMR images from a 52 year old female presenting with an episode of severe chest pain associated with marked anterior ST elevation and raised serum biomarkers. Coronary angiography revealed normal coronary arteries with no atheromatous disease. An LV angiogram showed a marked apical wall motion abnormality, raising the suspicion of Tako-Tsubo syndrome. CMR confirmed the typical diastolic apical “ballooning” on cine images (panels A and B) and absence of scar on late gadolinium enhanced images (panel C).