Whilst in the intensive care unit, our patient also suffered from a persistent left sided pneumothorax ( Figure  3 ) requiring an intercostal chest drain. Furthermore, she was noted to have T wave inversion in her anterior and lateral leads. A troponin test was negative. Her creatinine kinase levels were also within the normal range. She underwent an echocardiogram, which showed global hypokinesia and moderate to severely impaired left ventricular systolic function. Subsequent repeat echocardiograms confirmed persistent left ventricular (LV) systolic dysfunction. As a result, she was commenced on treatment with an angiotensin converting enzyme inhibitor (ACE-I). A repeat echocardiogram still showed moderately impaired LV function (ejection fraction estimated at 35%). Despite this, our patient made a good recovery and was discharged from hospital.