Recurrent stress-induced cardiomyopathy with variable regional location of left ventricular dyssynergy is an unusual clinical presentation and may allow potential insights into the pathophysiologic mechanisms underlying the development of the variable subtypes of stress induced cardiomyopathy.

This case report reveals a patient with reverse Takotsubo cardiomyopathy and apical Takotsubo cardiomyopathy within a three-week period. The discussion explores the potential pathophysiologic mechanisms responsible for the variable left ventricular regional involvement in stress-induced cardiomyopathy.