ABSTRACT
Cardiovascular diseases have been associated with higher risk of COVID infection, severity of its clinical presentation and a significant increase in overall mortality. We reported the case of a 77-year-old patient who recovered from a severe acute respiratory syndrome-coronavirus-2(SARS-CoV-2) after a complex treatment approach that included mechanical ventilation for 26 days and high flow nasal cannula (HFNC) therapy for 17 days. Relevant ST-segment elevations in inferior leads were documented, with mild troponin elevation and without relevant ultrasound alterations. A Cardiac magnetic resonance imaging was then requested. We emphasize the relevance of postponing invasive tests until significant recovery. The real incidence of acute myocardial injury related to COVID-19 requires a standardized definition beyond surveillance of future complications.