 Hello friends, I am Dr. Mohan Kumar, Consultant Intervention Radiologist, Kolumbiasa Hospital, Sajapurot, unit of Manipal Hospital. Today I am going to discuss about mycardial infarctioning ink. Mycardial infarctioning ink means less than 40 years, others developing mycardial infarction. It most commonly happens in the main predominantly. Mycardial infarction is a silent epidemic which we are going through. What are the reasons why we are seeing so many ingotels presenting with mycardial infarction? The most common reason is the change in the life style. Smoking, which is very common in ingotels and smoking is one of the most common reason why the ingotels develop mycardial infarction. Apart from that family history of premature pulmonary disease, then physical inactivity, stress, apart from the type, hypertension, diabetes, dyspipidemia, all these three factors are responsible for mycardial infarction even in young adults. What is the presentation of mycardial infarction? Even in patients anger, then 40 years also will have a similar clinical presentation as that of elderly people. So the most common presentation is the chest pain, breathlessness, sweating. So whenever the patient has this symptoms, they should never ignore and consider it as