Takotsubo cardiomyopathy also known as transient ballooning syndrome is characterized by reversible left ventricular dysfunction with presentation mimicking myocardial infarction. Even though this syndrome has been recognized for nearly 2 decades, cases with atypical features are still being reported. We describe 2 patients who presented to the hospital after cardiac arrest, which is very rare according to previous reports. Although still considered a benign condition, transient ballooning syndrome could be responsible for some of the undiagnosed sudden cardiac deaths in the community, and it may have a worse prognosis than currently recognized. In addition, 1 of our patients also had a previously unreported triggering factor, namely sexual intercourse.