Background:Cardiovascular diseases (CVD) and its complications account for approximately 12 million deaths annually in the Indian subcontinent. Hence; the present study was undertaken for assessing the profile of CAD patients. Materials & methods:A total 50 cases of CAD in young patients [age < or = 40 years] were studied. The cases were taken from medical, surgical, cardiology OPD, wards & ICU. The study population was a mix of urban and rural population. Both males and females were included in our study. The history of each patient was noted in detail and a thorough clinical examination was performed. Relevant investigations were performed in individual case. Each patient was followed up until discharge and the final Outcome was noted – complications / recovery / death. Data analysis was done with the help of experts. Result:The youngest patient in our study was 22 years old. Mean age of the patient in our study was 34.6. Maximum patients belonged to the age group of 36-40 years age. In our study males outnumbered the females 41 [82 %]. By using Fisher’s exact test p-value > 0.05 therefore there is no significant association between body mass index with outcome. Chest pain was the most common presenting symptom in our study followed by syncope. Angiographically normal vessels were found in 2 [4%] of the patients. Conclusion: More number of young ACS patients were males. The risk factors studied in this study did not show any association with short term mortality. Chest pain was the commonest presentation symptom. Higher NYHA and KILLIPS class were associated with greater mortality.