Abstract
At a cardiological level there are several similar pathologies, and among them those that have a high percentage of similarity in terms of clinical features are Takotsubo cardiomyopathy and Acute Myocardial Infarction. Presentation with dyspnea, chest pain and a history of a stressful situation, as well as electrocardiographic signs such as ST segment elevation, allow us to suspect both pathologies. Coronary angiography with coronary arteries without obstruction and the echocardiographic image where alterations in the contractility of the left ventricle and the shape of an octopus fishing trap are observed are the main bases for the definitive diagnosis of broken heart syndrome, as in the present case. The clinical part manifests itself as an acute coronary syndrome with ST elevation, but when performing the invasive approach, no occlusion is found in the coronary arteries, which is why it is classified as Takotsubo cardiomyopathy. Regarding treatment, follow-up, continuous monitoring and elimination of the triggering factor are essential to shorten recovery time and reduce the recurrence rate
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