Broken Heart Syndrome is real. As said above, it can be diagnosed with a negative Cath and an echo. I believe the heart has a specific shape of an hour glass. Their EF is low, but in most cases, that is reversible. Unfortunately, their are some doctors that rush into treatments such as an ICD/Bi V ICD instead of waiting for time and medications to help. There has probably been just as many cases of takotsubo syndrome, but we just called it "broken hearted".