Thallium scintigraphy (A and C) and cardiac SPECT images using ¹²³I-BMIPP (B and D) in a 76-year-old female patient with takotsubo syndrome. A discrepancy is present between ¹²³I-BMIPP and perfusion uptake in the apical area. White arrows show decreased uptake of BMIPP in the apical area, compared with uptake of thallium. ¹²³I-BMIPP, ¹²³I-beta-methy-iodophenyl pentadecanoic acid; SPECT, single-photon emission computed tomography.