Reverse Takotsubo Cardiomyopathy following Exogenous Epinephrine Administration in the Early Postpartum Period

Takotsubo cardiomyopathy (TCM) is typically triggered by stress and can often mimic acute myocardial infarction. It is typically characterized by ballooning of the apex of the left ventricle following emotional or physical stress. Reverse TCM is a rare variant in which the cardiac apex is hyperkinetic and ballooning occurs at the base of the heart. We present a case of reverse TCM in the immediate postpartum period following an injection of local epinephrine, followed by spontaneous resolution within 24 hours.