Tehran University of Medical Sciences The Research in Heart Yield and Translational Medicine (RHYTHM) 3115-7270 17 1 2022 01 30 29 32 Mohammad Vojdanparast Razavi Hospital, Imam Reza International University, Mashhad, Iran. Azra Izanloo Razavi Cancer Research Center, Razavi Hospital, Imam Reza International University, Mashhad, Iran. Zahra Alizadeh Sani -Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran. - Omid Hospital, Tehran, Iran. Roollalah Alizadehsani Institute for Intelligent Systems Research and Innovation, Deakin University, Geelong, VIC 3216, Australia. Sheikh Mohammed Shariful Islam Institute for Physical Activity and Nutrition, Deakin University, Melbourn, Australia 2020 11 14 2022 01 17 Coronaviruses can cause viral pneumonia with extrapulmonary manifestations and complications. Many patients have either underlying cardiovascular disease or cardiac risk factors. Acute heart attacks are also frequent in severe cases of coronavirus disease 2019 (COVID-19), which is associated with high mortality. In this paper, we describe a patient with COVID-19 who presented with myocardial infarction (MI) symptoms but lacked the initial symptoms of the infection such as fever and cough. COVID-19 and myocardial infarction were diagnosed. The patient underwent thrombolytic treatment and fully recovered. https://rhythm.tums.ac.ir/index.php/jthc/article/view/1377 https://rhythm.tums.ac.ir/index.php/jthc/article/download/1377/999