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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 94-year-old female&#44; with hypertension&#44; paroxysmal atrial fibrillation&#44; ischemic stroke and an echocardiogram without wall motion abnormalities performed the previous month&#44; presented to the emergency department with a two-day history of dyspnea and dry cough without fever&#46; The patient had had contact with a COVID-19 patient&#44; PCR was positive for SARS-CoV-2 and the chest radiography documented bilateral basal pneumonia&#46; The baseline electrocardiogram showed sinus rhythm without significant repolarization alterations &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>A&#41;&#46; The patient was hospitalized for treatment&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">On the fifth day of hospitalization&#44; the patient reported chest pain and the electrocardiogram showed atrial fibrillation with rapid ventricular response and ST-segment elevation in the anterolateral leads &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>B&#41;&#46; Emergent coronary angiography demonstrated absence of obstructive coronary lesions &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>A-C&#59; Videos 1-3&#41; and ventriculography showed severe ventricular dysfunction with anterolateral&#44; apical&#44; and inferior dyskinesia and hypercontractility of the basal segments&#44; compatible with Takotsubo syndrome &#40;TTS&#41; &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Figure 2</a>D and E&#59; Video 4&#41;&#46; At two-month follow-up&#44; the patient remains asymptomatic and the echocardiogram demonstrated recovery of ventricular contractility&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">The TTS consensus documents recommend coronary angiography and ventriculography to confirm the diagnosis&#46; There are few reported cases of TTS triggered by COVID-19&#44; with a non-negligible proportion diagnosed by echocardiography&#46; The lack of invasive methods to confirm the diagnosis of TTS in COVID-19 patients could be related to the unavailability or the inherent risk of invasive tests&#46; However&#44; failure to perform coronary angiography and ventriculography can lead to false diagnoses&#46; In this case&#44; we show through invasive methods&#44; following the recommended criteria&#44; the development of TTS in a patient with COVID-19&#46;</p><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0100" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
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