Acute coronary syndrome with typical chest pain seen in a 62 years woman following emotional stress (death of a family member). Typical ST segment elevation. Echocardiography showed apical and mid ventricular wall motion abnormalities and hyperkinesis of the basal segment. Coronary angiography was normal. Cardiogenic shock supervened and needed circulatory assistance. Secondary favorable outcome. Introduction of beta-blockers after the correction of acute heart failure.