Reply to “SARS-CoV-2-associated Takotsubo is not necessarily triggered by the infection”

We hereby take the opportunity to thank Dr. Finsterer for his comments on our manuscript titled, ‘‘COVID-19 Presenting as Takotsubo Cardiomyopathy (TTC) Complicated with Atrial Fibrillation”. The points raised by Dr. Finsterer are indeed very pertinent and ought to be addressed. In accordance with the question raised by the author, the exclusion of acute coronary syndrome (ACS) prior to the diagnosis of TTC is mandated in order to meet all inclusion criteria stipulated by the Mayo Clinic. In our manuscript, we have highlighted that coronary angiography was not performed due to a concoction of factors. Our patient manifested a predilection towards not wanting to undergo angiography.