Elderly woman presenting with multivessel coronary artery disease and Takotsubo syndrome

94-year-old woman presenting with chest pain after emotional upset, acute myocardial injury, severely reduced LVEF with apical ballooning (Takotsubo syndrome), and multivessel coronary artery disease.

Initial medical therapy (antiplatelet and heart failure therapy) with deferred percutaneous coronary revascularization of the left main and left anterior descending artery until LVEF recovery.

Clinical outcome at 6-month follow-up