Case Presentation: We present a case of a patient who presented to the Emergency Department with palpitations, nausea, vomiting and chest discomfort found to have a reduced Ejection Fraction and basal wall hypokinesis on Point of Care Ultrasound concerning for reverse Takotsubo cardiomyopathy. 

Discussion: Reverse Takotsubo cardiomyopathy is a rare variant of Takotsubo cardiomyopathy and involves basal ballooning instead of apical ballooning. Ultrasound findings concerning for reverse Takotsubo cardiomyopathy are basal wall hypokinesis or akinesis.