Reminder of important clinical lesson ‘Tax-otsubo’: stress cardiomyopathy following an encounter with the Inland Revenue Myles William Roach and Peter Currie Cardiovascular Department, Arrowe Park Hospital, Wirral, UK Correspondence to Dr Peter Currie; petercurrie{at}nhs.net Abstract An 89-year-old man developed chest pain and palpitations shortly after finishing a stressful 40 min phone call to HM Revenue and Customs.