Sandbox:DN

	Stress Cardiomyopathy	Anterior Wall MI
Chest pain and dyspnea as presenting symptoms	✔	✔
ST elevation in precordial leads	✔	✔
Peak CK-MB value	<50 U/L	↑↑↑
6-month outcome	Favorable outcome	Higher rates of: Death Cardiac death Reinfarction Rehospitalization Major cardiac events

Stress cardiomyopathy must also be differentiated from Takotsubo-like syndrome caused by medical conditions, such as pheochromocytoma:

	Stress Cardiomyopathy	Takotsobu-like Syndrome
Chest pain mimicking MI	✔	✔
EKG findings (ST elevation)	✔	✔
Positive cardiac enzymes	✔	✔
LV regional dysfunction	✔	✔
Patient profile	Post-menopausal women	Younger patients with less female predominance
Catecholamine levels	Transient elevation	Constantly elevated
Complications		Higher rate of complications, including: Cardiogenic shock Heart failure Low ejection fraction (EF)