(Disclaimer: This article is for general use only. To protect patient privacy, the information in the following content has been processed) Abstract: There is often a consensus that coronary heart disease will naturally develop with age, but it is not known that there are many young people, in their 30s and 40s, who are on their way to coronary heart disease. The case mentioned in this article is very typical and often encountered in outpatient clinics. This patient is young, fit and healthy, with no family history and no previous medical history, but she has recurrent chest pains and a stuffy feeling when carrying heavy objects, which is relieved after resting and is not taken seriously, and then the chest pain worsens. In this case do not feel that you must be fine and ignore the possibility of coronary heart disease. [Basic information] Male, 32 years old [Type of disease] Coronary heart disease [Attending hospital] Harbin First Hospital [Attending time] December 2021 [Treatment plan] Anti-platelet aggregation drugs (clopidogrel, aspirin) + atherosclerotic plaque stabilizing drugs (atorvastatin) + blood pressure lowering inhibiting left ventricular remodeling drugs (olmesartan) [Treatment cycle] Hospitalization for 7 days [Treatment effect The patient has always been in good health, no one in his family has ever had heart disease, and he has no past medical history of diabetes or hypertension. 1 week ago, when he was working at a construction site, he had recurrent chest pain when carrying heavy loads. The patient himself did not take it seriously, but in the past two days the chest pain was so bad that he told his workmates. The worker told him that a man in his hometown had a myocardial infarction and died at a young age, so he insisted that the patient come to the hospital. Although there was nothing significant in the routine blood and myocardial enzymes, I admitted the patient to the hospital with professional vigilance and repeatedly checked some items. After admission, the electrocardiogram showed a significant ST-segment elevation, and biochemical findings showed hyperlipidemia and abnormal liver function. The most severe stenosis in the proximal segment reached 80%, and the TIMI flow was grade III. The “criminal” vessels were nowhere to be seen under the angiography, and the patient understood his problem. The good thing is that it was found early and could be treated with oral medication and, if necessary, stenting, but the patient declined for the time being for economic reasons. The patient said that he would go home to take some medication first, and if he still did not see any improvement, he would come back to have a heart stent sooner. We prescribed antiplatelet aggregation drugs – clopidogrel and aspirin, stabilizing atherosclerotic plaque – atorvastatin, which is also a good statin lipid-lowering drug, and lowering blood pressure and inhibiting left ventricular remodeling – olmesartan. The patient’s symptoms were gradually relieved after taking the drug, and after 7 days of hospitalization with no obvious discomfort, he was approved to be discharged. Precautions 1. During the treatment period, patients should pay attention to a light and easy-to-digest diet, eat more fresh vegetables and fruits, chew and swallow slowly, do not overeat, and avoid eating cold, greasy and stimulating foods; 2. During the period of oral clopidogrel and atorvastatin, if there are obvious symptoms such as weakness, rash and diarrhea, promptly consult a doctor; regularly review the liver function, and suspend the drug for those with severely decompensated liver function; also regularly review the heart function. If the patient’s treatment effect is satisfactory, stent implantation can be temporarily postponed; if there is obvious ST-segment change in the review, stent implantation should be considered as early as possible; 3. And keep a happy mood and avoid bad emotions. V. Personal insight In recent years, with the improvement of people’s living standard and the increasing pressure of work and life, heart disease is no longer the patent of the elderly. Through this case, I obviously perceive that for young people it is necessary to prevent the early arrival of hypertension, hyperlipidemia, diabetes, coronary heart disease and other diseases. For young people who often stay up late, do not pay attention to rest and do not pay attention to abnormal body signals, it is more important to change bad habits, pay attention to physical health, regular medical checkups so as to detect abnormal body conditions and be able to intervene in time to avoid the occurrence of coronary heart disease at a young age like the above patient.