BACKGROUND: Although acute myocardial infarction was believed to be an uncommon entity in the young, of late there has been a rising incidence in this group of population. The analysis of its clinical profile, including the etiologic and the risk factors gains much importance, for the preventive purpose. AIMS AND OBJECTIVES: To study the clinical profile of acute MI, including the evaluation of the cardiac enzyme markers, the risk factors, the management and the complications and outcome of

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... group of patients aged 40 years or younger. RESULTS: Majority of patients belonged to the age group of 36-40years. 31 patients were overweight and 16 patients were obese. 46 patients (67.64%) had anterior wall myocardial infarction, 22 patients had inferior wall myocardial infarction (32.35%) and ST-elevation myocardial infarction was found in 69.2% of patients. Smoking/tobacco use was the most common risk factor (64.70%) followed by dyslipidemia (60.29%), metabolic syndrome (52.94%) diabetes mellitus (52.94%), hyperhomocysteinemia (52.94%), alcohol consumption (48.52%), hypertension (34%), family history (26.47%), obesity (23.52%). Other than these, two patients had chronic kidney disease stage 3, two female patients were irregular oral contraceptive pill users, one was diagnosed as systemic lupus erythematosus and another patient had antiphospholipid antibody syndrome. Conclusions: Apart from early diagnosis and adequate treatment of acute MI in young patients, it is also essential to identify and prevent or control the risk factors at primary and secondary level.