Chest pain and high troponin level without significant respiratory symptoms in young patients with COVID-19

Background: of all patients infected with covid-19, 95% have mild symptoms, but 5% may experience severe illness. there are reports of myocardial injury associated with the covid19 infection in middle-aged and old people with baseline cardiac conditions. acute myocardial injury has been suggested as a marker for disease severity. sometimes it is hard to differentiate between acute coronary syndrome and acute myocarditis; hence detailed history taking, lab tests and imaging will be necessary. case presentation: herein, we described two young patients presenting with chest pain and no significant respiratory symptoms, one without cardiovascular risk factors and another one with diabetes mellitus and cigarette smoking. covid-19 was documented with real-time reverse-transcriptase-polymerase chain reaction (rrt-pcr). conclusion: early chest ct scan besides coronary ct angiogram (if available) in suspicious cases can help physician to make fast decisions. these two cases both had complication-free hospital stay. despite markedly high on-admission troponin levels, which is known as a marker of poor prognosis they discharged in good condition. one month follow-up was also uneventful.