Piccolo et al. [8] recently investigated the association between the outbreak of COVID-19 and primary PCI rates due to ACS in the Campania region. They found evidence that the outbreak of COVID-19 was associated with a decline by 32% in the number of PCI due to ACS. Data presented by Piccolo and co-workers [7] refer to the same region from which the patients belonging to this department come from. Even more concern may rise looking at reduced admissions for acute myocardial infarction during the COVID-19 pandemic not only in Campania region but also across Italy, with a parallel increase in fatality and complication rates [18].