Post-operative Takotsubo Cardiomyopathy in Elective Mitral Valve Replacement

Takotsubo cardiomyopathy is a type of stress cardiomyopathy that is usually seen in postmenopausal patients and can be triggered by emotional stress, hypoglycemia, hypothyroidism, and surgery.A patient post cardiac surgery can present with multiple complications causing hemodynamic compromise.Hence, takotsubo cardiomyopathy remains a diagnostic dilemma.Here, we present an interesting electrocardiogram (ECG) of the same condition in a patient after mitral valve replacement with normal patent coronaries but presenting with anterolateral massive infarction with shark fin pattern in the ECG.