The study is conducted to evaluate the incidence and clinical presentation of myocardail infarction in young adults presenting with chest pain to the emergency medicine department .results are young MI patients were 14.5% of all MI reporting associations, 94%pts presented with typical chest pain. 78% suffered from a single vessel disease. The study concludes that the incidence of myocardial infarction is on an increasing trend in <40 years age group is 14.9% of the total cases reported to Bharati hospital with MI over a period of 12 months. A clear need for a multicentric trial on this issue exists