An infectious coronavirus disease 2019 (COVID-19), caused by infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is accompanied with elevated risk and adverse outcome among infected patients, even sudden death due to significant multiple organ dysfunction, including dire cardiovascular complications. Myocardial impairment due to invasion of SARS-CoV-2 virus via angiotensin-converting enzyme 2 receptor to cardiovascular cells/tissue leads to endothelial inflammation and dysfunction, de-stabilization of vulnerable atherosclerotic plaques, stent thrombosis and cardiac stress, caused by diminished oxygen supply and cardiac muscle damage and myocardial infarction. A number of promising therapeutic approaches are currently under clinical trials to avoid a massive surge of COVID-19 patients with prevalence of adverse cardiac events.