title: A young soldier with syncope, shortness of breath and palpitations.
abstract: BACKGROUND
  Coronary artery disease in people under 30 years is relatively uncommon, but once a disease occurs it brings a significant morbidity and psychological effects.
  
  
  METHODS
  We reported a 28-year-old patient presenting atypical symptoms after sincopa and non-specific changes on electrocardiogram at admission. After noninvasive and invasive cardiology diagnostic procedures were made, we concluded that he had a subtotal tubular stenosis in proximal segment of the left anterior descending coronary artery. Myocardial revascularization was successfully performed 24-hour after coronarography with the left internal mammary thoracic artery graft on the left anterior descending coronary artery and the patient had a prompt and satisfactory postoperative recovery.
  
  
  CONCLUSIONS
  This case indicates the importance of a careful evaluation of young adults even if they do not experience typical anginal symptoms or do not have multiple risk factors for cardiovascular diseases.
authors.affiliation: Military Medical Academy, Clinic for Cardiology, Beograd, Srbija. zoz3377@gmail.com
authors.forename: Zorica
authors.initials: Z
authors.lastname: Mladenović
authors.forename: Zdravko
authors.initials: Z
authors.lastname: Mijailović
authors.forename: Dragan
authors.initials: D
authors.lastname: Tavaciovski
authors.forename: Radoje
authors.initials: R
authors.lastname: Ilić
authors.forename: Sinisa
authors.initials: S
authors.lastname: Rusović
authors.forename: Zoran
authors.initials: Z
authors.lastname: Trifunović
authors.forename: Radomir
authors.initials: R
authors.lastname: Matunović
mesh_terms: D000328:Adult; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000150:complications / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004417:Dyspnea / Q000209:etiology*; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008889:Military Personnel; D013575:Syncope / Q000209:etiology*; D013610:Tachycardia / Q000209:etiology*