identifiedofwhichninehadaccessible serial imaging (89% female, mean age 58.5 years (range 52–77)). Mean LVEF at presentation was 36% (range 30–45) and at follow-up 62% (range 55–71). Diastolic dysfunction was all in grades I and II at presentation. At follow-up, diastolic parameters E/A, E′, E/E′, deceleration time and diastolic grading correlated strongly with initial values and did not change significantly despite drastic LV systolic function recovery Conclusions: Tako-tsubo cardiomyopathy is a unique syndrome whereby severe LV systolic dysfunction and recovery does not coincide with the degree of diastolic dysfunction. Although the majority of tako-tsubo cardiomyopathy patients will not have LV diastolic dysfunction, in a small subset of patients, LV diastolic dysfunction may persist despite systolic recovery. doi:10.1016/j.hlc.2011.05.390
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