IJCS | Volume 33, Nº4, July and August 2020

433 to a second elective procedure; on the other hand, this specific patient with a severe lesion in the proximal LAD would be exposed to a higher risk for ischemic events. Considering this completely new situation, with a highly spread infectious disease and with individual experience- based evidence, it is difficult to determine which would be the best approach in this case. Finally, it is important to emphasize the adequate use of personal protective equipment (PPE) by healthcare professionals. During both procedures performed at the CCL, the patient was not suspected of COVID-19. Still, all the staff was fully equipped with PPE. Based on the experience of European centers, 8,9,13 the institution took several precautions and a new service flow chart was validated and has been applied since the reports of the first cases in Brazil. This new protocol suggests close communication between the multidisciplinary cardiology team. In addition, all cases referred to the CCL are considered suspected of infection by SARS- CoV-2, even in the absence of flu-like symptoms. Thus, all professionals in the unit are fully equipped. So far, no healthcare professional was quarantined. Figure 4 – Left venticulography with akynesia of the apical portions of the left ventricle – Takotsubo Syndrome pattern. Esteves et al. Covid-19 and STEMI Int J Cardiovasc Sci. 2020; 33(4):429-435 Case Report