Takotsubo cardiomyopathy is a rare pathology and a cardiovascular syndrom which courses with myocardial infarction and left ventricular disfunction without coronary artery disease. Although being rarely asymptomatic, it generally causes symptoms such as chest pain, dyspnea and syncope. Ventriculography reveals antero-apical ballooning and magnetic resonance imaging and echocardiography reveals regional wall function abnormalities. This disease generally effects old, postmenopausal women after physical or emotional stress factors. Patients present to the clinic with various symptoms related to acute coronary syndrome. Therapy is generally supportive medical treatment. In this report, we present the 79-years-old female patient with takotsubo cardiomyopathy whom was admitted to the emergency clinic with sudden onset chest pain and dyspnea. With the initial diagnosis of acute coronary syndrome, cardiac catheterization did not show significant stenosis and indicated apical ballooning which supported the diagnosis.