[Takotsubo syndrome caused by gunshot - a bullet missed the heart but still hits it].

In our case, the rifle bullet fortunately did not hit the patient. Nevertheless, the incident was a very serious emotional event for the patient. Due to the release of stress hormones, the incident had an indirect and potentially fatal effect on the heart. A takotsubo syndrome emerged with typical chest pain, repolarization abnormalities and elevation of cardiac biomarkers. The morphology was atypical, showing mid-ventricular wall motion abnormalities. In our case, a previous episode of takotsubo syndrome can be suspected. Fortunately, the outcome was benign and the systolic LVEF normalized after 3 months of heart failure therapy. The severe complications associated with LVOT obstruction did not occur. This is not the first case report of a takotsubo syndrome after a gunshot, but it is the first without a direct effect of the bullet.