21-Year-old male with severe coronary atherosclerosis.

Coronary heart disease (CHD) is not limited to middle-aged and elderly individuals; when premature CHD develops in the younger population, it has distinct characteristics in terms of lipid profile, risk factors, and clinical presentation. The following describes a 21-year-old male who presented with stable angina, underwent a full cardiac workup, and was ultimately found to have multivessel CHD. In summary, the presence of mild dyslipidemia, high blood pressure, cigarette smoking, obesity, and a family history was sufficient to induce ischemic heart disease at such a young age. <Learning objective: This case report reveals an exceptionally young Caucasian man presenting with stable angina and found to have multivessel coronary disease. The patient received a coronary artery bypass surgery at just 21 years of age. He exhibits traditional risk factors of CHD; hypertension, dyslipidemia, cigarette smoking, and obesity. CHD may be more prevalent in the younger population than once was thought, and it is important that risk factor reduction starts in early in life.>.