“…There have been other non-ischemic etiologies related to PMR. Gouda et al published a review of all non-ischemic spontaneous PMR case reports up to 2015 (2), differential etiologies noted in the summary include myocarditis (5,6), endocarditis and fungal infections (7,8), Ehler Danlos type IV, Takotsubo cardiomyopathy and mitral annular calcification are other described entities (3,4,9,10). From the 12 cases published thus far, 4 of them had an unknown etiology (2,11,12,13).…”