Takotsubo cardiomyopathy: which role for serial electrocardiogram changes?

Takotsubo cardiomyopathy (TTC) is a cardiac syndrome characterized by acute regional-reversible systolic dysfunction of the left ventricle (LV) and related to psycho-physical acute stress. Recently, physicians and researchers have posed their attention on the time course of  ECG changes in TTC. Knowledge of  ECG changes in TTC could be useful for the clinical management of this disease. Among all TTC deaths, 38% of cases are directly related to in-hospital complications. Serial ECG assessment could be a first line defence in reducing mortality and in-hospital complications in patients with TTC.