Coronary thrombosis in a young male with COVID-19

•COVID-19 can present with a broad clinical spectrum of cardiac manifestations.•The procoagulant state in COVID-19 can independently increase the risk of coronary thrombosis in otherwise healthy patients.•COVID-19 patients who develop typical chest pain should be investigated for acute myocardial infarction. COVID-19 predominantly presents with respiratory symptoms, but other presentations are reported, including cardiac manifestations and thromboembolism. We present a healthy young gentleman with COVID-19 pneumonia, who developed acute ST-segment elevation myocardial infarction (STEMI) due to coronary thrombosis. He was managed successfully by primary percutaneous coronary intervention (PPCI).