1. | Transient hypokinesis, akinesis, or dyskinesis of the left ventricular mid segments with or without apical involvement; the regional wall motion abnormalities extend beyond a single epicardial vascular distribution; a stressful trigger is often, but not always present |
2. | Absence of obstructive coronary disease or angiographic evidence of acute plaque rupture |
3. | New electrocardiographic abnormalities (either ST-segment elevation and/or T-wave inversion) or modest elevation in cardiac troponin |
4. | Absence of pheochromocytoma or myocarditis |