**7. Future implications**

Though Takotsubo syndrome remains an enigma in many aspects, new capabilities of cardiac imaging are emerging that can assist with clarifying pathogenesis, tracking injury patterns, and preventing recurrence. With the utilization of global longitudinal strain on transthoracic echocardiography, persistent LV dysfunction can be detected even when ejection fraction has recovered, a feature that can potentially be used to identify which patients are at a higher risk of recurrence. CMR affords clinicians the opportunity to identify pathogenic features not previously recognized as large contributors to TTS etiology, ultimately enhancing treatment options. Further studies are being conducted investigating both genetic predispositions and biomarkers to better assess disease course. It is our hope that with each new discovery, we become closer to deciphering the complexities of Takotsubo syndrome.
