LAUSR

We thankDr. Y-Hassan for his interest in our paper [1].While we aclook for and exclude SCAD before diagnosing TS in the appropriate clinknowledge the author's expertise in the field, we don't agree with his conclusion that spontaneous coronary artery dissection (SCAD) and takotsubo cardiomyopathy (TS) co-exist in this case. The patient's clinical presentation, and cardiac catheterization results are explainable by SCAD alone. Coexistence of SCAD and TS would be possible in the presence of wall motion abnormalities beyond the culprit vessel involved with SCAD as previously reported [2], but it is not the case here. It is of paramount importance to exclude ACS including SCAD before a diagnosis of takotsubo cardiomyopathy could be made [3]. SCAD is often under recognized, and it may be worthmentioning to particularly