objective:To fol ow-up of young patients with myocardial infarction, coronary heart disease, to explore risk factors of control.Methods In 181 cases, younger than 45 years old, and myocardial infarction (ESC 2007 consensus diagnosis of myocardial infarction (mi) new standard), conforms to the standard, in this study. Selected object, a total of 181 people, including 157 people, has completed 2 years of fol ow-up, the fol ow-up rate was 86.74%. For al patients to community education and individual guidance, health education, exercise, diet, quit alcohol, etc. Part of the diagnosis of hypertension, type 2 diabetes for buck, hypoglycemic drugs. Al patients included in this study, giving patients antiplatelet aggregation, anti treatment of atherosclerosis. Adopt outpatient fol ow-up, the form of a fol ow-up telephone fol ow-up or hospital make a diagnosis and give treatment, fol ow-up of 1 year, 2 years, were determined in patients with blood pressure, triglycerides, body mass index, waist circumference, fasting blood sugar and other indicators of change. Fol ow-up after entering the investigation ended in 2 years. Statistical processing count data by chi-square test, measurement data using t test, using SPSS17.0 statistical software for data processing.Results:For young patients with myocardial infarction, coronary heart disease, behavior intervention in improving the patients' lifestyle behavior, control of blood pressure, blood sugar, reduce weight, etc have a positive effect, but stil not up to standard. So to be continued by missionary, clinical fol ow-up in the form of intervention. Control the risk factors within the target levels, thus to prevent the occurrence of cardiovascular adverse events again, improve the prognosis.