Author’s reply: Takotsubo cardiomyopathy associated with perimyocarditis: yet another important differential diagnosis to entertain

I would like to thank Chhabra and Chaubey They pointed out Spodick's sign, which comprises PR segment depression and downsloping TP segments, as a diagnostic electrocardiographic marker to help distinguish acute pericarditis from acute coronary syndrome. This is very important, as pericarditis accounts for 5% of emergency department visits for chest pain without myocardial infarction, Our patient's electrocardiogram showed Spodick's sign following a one-day prodrome of febrile illness, which is in contrast to that of another case report, where Spodick's sign appeared a little after the onset of acute pericarditis. The cause for discrepancy in the time of onset is unclear.