Abstract:
 BACKGROUND: Existing research related to the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) which caused the COVID-19 pandemic has found that this was not only a respiratory disease. Instead, it can impact other organs such as the heart, and increase disease severity.
 AIM: This study aims to review ACS cases which result from COVID-19, to improve comprehension of the presentation, clinical features, diagnostic process, and outcomes of this rare but potentially severe complication.
 METODS: In this review, case report studies confirmed Acute Coronary Syndrome (ACS), and a reported diagnosis of COVID-19 was included. A literature research was performed on PubMed, Web of Science, and Scopus. However, only 77 cases met the inclusion criteria.
 RESULTS: Regarding the clinical features of COVID-19 infection, the symptoms patients most frequently presented with were shortness of breath (SOB), fatigue, fever, and cough. Regarding vessels impacted by COVID-19, it was found that the right coronary artery (RCA) was the most involved vessel.
 CONCLUSION: The cases with ACS frequently displayed typical symptoms of fever, chest pain, SOB, and a cough. However, This review shows that no association was found between ACS and the COVID-19 pandemic.