This is an angiogram of the left coronary artery in a woman with Tako-tsubo cardiomyopathy ("broken heart syndrome"). There are no arterial occlusions, but her ECG showed ST elevation in the anterior leads. Tako-tsubo cardiomyopathy causes sudden heart failure and is due to extreme stress, such as a death of a loved one. It is transient, and those who survive the attack usually recover fully. It is not easily seen in an arteriogram, but the LV apex is dilated and akinetic. This patient's ventriculogram appears on our YouTube channel, also.