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Takotsubo syndrome (TTS) is a non-ischemic cardiomyopathy characterized by an acute reversible left ventricular dysfunction with typical apical ballooning, usually with subsequent complete spontaneous recovery. TTS shares several features with acute coronary syndrome (ACS), including clinical presentation, ECG changes, and elevated troponin. To identify different features that may help differentiate between TTS and ACS with presentation based on presenting symptoms and physical examination. We compared 35 patients who TTS had been diagn