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12%, P 0.001). In-hospital major adverse cardiovascular events occurred more frequently in TTS patients (12% vs. 4.7%, P 0.001). Notably, TTS patients showed more frequently congestive heart failure (10% vs. 0.6%, P 0.001), atrial fibrillation (11% vs. 1%, P 0.001) and had a higher all-cause in-hospital mortality (5.7% vs. 1.3%, P = 0.032). TTS patients are older and present a higher prevalence of some cardiovascular risk factors than patients with SCAD. TTS is linked to a worse in-hospital prognosis with hig