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A 22 yr old postpartum female after a twin vaginal delivery presented with shortness of breath grade 2-4 NYHA, grade 3 pedal edema and basal crepitations is diagnosed to have Takotsubo cardiomyopathy. A young age of 22 years is uncommon for this disease and stressor might be twin vaginal delivery in this case. However patient showed significant improvement within a week and showed complete recovery within 2 months.