Introduction: National registries are an eff ective means of acknowledging the incidence and prevalence of patients with acute myocardial infarction. According to these, the incidence of acute miocardial infarction (AMI) under age of 45 years is between 4 – 10%. In this presentation, we tried to individualize the evolution of a symptomatic young patient with cardiovascular risck factors. Methods: This is a male patient, 25 years old, presenting with constrictive chest pain. From his past medical hystory we note: type I diabetes, insulin-requiring. Resting ECG shows ST segment elevation in the anterior derivations. Echocardiography reveals a dyskinetic septum. We fi nd it optimal to perform angiography. Results: Coronarograpy per primam highlights coronary thrombus in the circumfl ex coronary artery, reason for which we decided to stent the patient. Patient outcomes is favorable. At his last visit, he was completely asymptomatic. Conclusions: Increased incidence of acute myocardial infarction in younger patients due to aggregation of risk factors becomes a certainty, even if it was considered a special event (in youth, AMI is described as an exception in the literature, having a non-atherosclerotic cause).