Recurrent admission with ventricular fibrillation in the context of Takotsubo cardiomyopathy

Key Teaching Points•Relapse of Takotsubo cardiomyopathy can present with life-threatening arrhythmias.•The substrate of ventricular arrhythmias in Takotsubo cardiomyopathy is not well known, but ventricular arrhythmias can occur despite optimal medical therapy for cardiomyopathy.•There use of implantable defibrillators in patients with Takotsubo cardiomyopathy presenting with unstable ventricular arrhythmias lacks of solid data. However, individual case-based study should be suggested to balance benefits vs risks of the procedure. •Relapse of Takotsubo cardiomyopathy can present with life-threatening arrhythmias.•The substrate of ventricular arrhythmias in Takotsubo cardiomyopathy is not well known, but ventricular arrhythmias can occur despite optimal medical therapy for cardiomyopathy.•There use of implantable defibrillators in patients with Takotsubo cardiomyopathy presenting with unstable ventricular arrhythmias lacks of solid data. However, individual case-based study should be suggested to balance benefits vs risks of the procedure.