Recurrent Takotsubo syndrome with variable echocardiographic and electrocardiographic appearances

Patients with recurrent Takotsubo syndrome may not represent with the same echo and ECG appearances as the first episode. Clinician should also be aware that recurrent Takotsubo syndrome may occur many years later after the first episode. The variation in ECG pattern we observed between recurrent events with differing echocardiographic variants is still not fully understood and should be further investigated.