Aim: We wanted to search for incidence of direct COVID_19 infection in an association with STEMI treated by P-PCI and to see if there was an impact on result of revascularization ,success , mortalities and sequalae's . Methods:We followed our 317 cases during the period from 1/1/2020 till 1/11/2021 regarding gender , incidence of thrombotic Vs non thrombotic lesions , age groups , arteries involved , culprit arterial segments , comorbidities , success rates and mortalities , incidence of direct COVID_19 infection association in our cases of STEMI, treated by P-PCI