Abstract: Ischemic heart disease is uncommon in young adults and may have some characteristics that are different from those in older patients. This study examined the risk factors for coronary artery disease and angiographic characterization in young adults. In current study 45 patients (90%) were men and only 5(10%) women. 10% of this population were obese and 78% were overweight. Risk factor analysis revealed smoking to be present in 78% of population. Family history was present in 52% of population. As compared to Diabetes Mellitus 12%, hypertension was present in 40% of patients and hyperlipidemia was seen in 48% of patients. Angiographically the percentage of coronaries involved was 84% (n=42). Nevertheless single vessel disease was the most common angiographic finding in the study group, 67% of patients had single vessel disease and 28% had double vessel while as about 5% patients had triple vessel disease. The left anterior descending artery was the most common artery involved followed by right coronary artery and circumflex artery. From these results we conclude that Myocardial infarction before age 45 is a disease of men. A sizeable proportion of patients will have normal coronary arteries. Coronary arteriography should be considered for patients who sustain a myocardial infarction before age 45 for purposes of diagnosis, management and prognosis.