Acute coronary syndrome (ACS) is the primary cause of death in developed nations and ranks among the top contributors to disease burden in developing regions as well. It is the primary cause of death in developed nations and ranks among the top contributors to disease burden in developing regions as well. The majority of participants were male (95.0%), with only 5.0% being female. Among the patients, 30.0% had a good EF, 42.5% had mild dysfunction, 22.5% had moderate dysfunction, and 5.0% had severe dysfunction. A slightly higher proportion of patients (52.5%) underwent thrombolysis (L), while 47.5% underwent primary PCI. Most participants (77.5%) were non-smokers, while 22.5% were smokers. A significant majority (85.0%) did not have diabetes, whereas 15.0% were diabetic. Hypertension was present in only 5.0% of patients, while 95.0% did not have hypertension. The prevalence of single-vessel disease (SVD) was highest in the LAD (40.0%), followed by RCA involvement (22.5%), with 2.5% having LCX involvement. Double-vessel disease (DVD) was present in 15.0% of cases, while triple-vessel disease (TVD) was found in 10.0%. A majority (82.5%) of patients did not have recanalization, whereas 17.5% showed recanalization. Although there are differences in the distribution of coronary artery disease patterns among individuals with and without dyslipidaemia, none of the observed associations reach statistical significance. This suggests that while dyslipidaemia may contribute to disease progression, its direct impact on specific vessel involvement or recanalization outcomes is not clearly established in this sample study