Troponin elevation in this condition is attributed to catecholamine-mediated myocardial stunning and microvascular dysfunction, while BNP rise correlates with ventricular wall stress and diastolic impairment [7]. The InterTAK diagnostic score (55 points), designed to differentiate acute coronary syndrome from stress cardiomyopathy, strongly supported the diagnosis, with points allocated for physical (surgical) and emotional triggers, QTc prolongation, and the absence of ST depression [18]. Here, NPPB is linked to acute coronary syndrome.