In young people with myocardial ischemia, the first step is to identify the specific cause of the myocardial ischemia. If it is caused by myocarditis, such as viral myocarditis, it is recommended that antiviral treatment can be administered, and patients are advised to take oral drugs that nourish the myocardium to remove oxygen free radicals, such as coenzyme Q10, vitamin C and vitamin E. If the patient’s myocardial ischemia is caused by insomnia or poor sleep quality alone, it is recommended that the patient can take oral medications to improve sleep, such as glutathione, spikenard or sweet dream capsule, etc. The condition of myocardial ischemia will be greatly improved after sleep improvement. Therefore, it should be further clarified whether the myocardial ischemia appears in patients due to anemia or abnormal thyroid function, and if it is triggered by severe anemia, blood transfusion therapy should be carried out. Treatment of myocardial ischemia in young people includes medication, coronary artery stent implantation surgery, and coronary artery bypass surgery. The drugs commonly used to treat myocardial ischemia include aspirin, clopidogrel, simvastatin, metoprolol, trimetazidine, etc. If the coronary angiogram suggests a single vessel lesion with stenosis of more than 80%, stenting is recommended. If stenosis occurs in more than two vessels, coronary artery bypass surgery is recommended. Regardless of bypass or stent surgery, oral coronary artery disease secondary prevention medications are required.