Previous studies have reported that there is a rising incidence of ACS in the young. The currently available evidence suggests young patients represent 0.4-19% of all ACS cases[4]

·      A significant proportion of the burden of coronary heart disease is attributed to behavioral or lifestyle factors including poor diet, obesity, and tobacco use. 

·      Biomedical risk factors such as hypercholesterolemia, hypertension, obesity, and diabetes are also known to contribute to the development of the disease.  [5]

·      In an analysis of age-standardized coronary heart disease (CHD) mortality in Canada over a 15-year period, South Asians had the highest CHD mortality compared with individuals of Chinese and European descent. [6]

·      South Asians where found to be prone to developing CHD at a younger age, often before the age of 45 years in men and are more likely to have significant left main, multi-vessel, and distal coronary artery disease.[6]

·      Consequences of MI can be devastating particularly at a young age due to its greater potential impact on the patient’s psychology, ability to work and the socioeconomic burden. As ‘‘young’’ MI patients may be the main income producer of the family, the aftermath of MI can also affect multiple dependents.

literature focussing on premature myocardial infarction (MI) in the young and focusing on the Indian population is lacking. Hence, it is important to identify the major risk factors and clinical profile of ACS in young adults so that future preventive measures can be taken in the form of lifestyle modification and pharmacotherapy