INTRODUCTION: The major symptoms associated with cardiac disease include chest discomfort, dyspnea, fatigue, oedema, palpitations and syncope. AIMS AND OBJECTIVES: Study of various presenting symptoms in coronary artery disease. MATERIALS AND METHODS: Inclusion criteria: Patients admitted in S.V.R.R.G.G. Hospital with the diagnosis of coronary artery disease. Exclusion criteria: Patients who are already having coronary artery disease before admission in this hospital. RESULTS: In this study the commonest presenting complaint in coronary artery disease was chest pain followed by breathlessness, fatigue, syncope and left upper limb pain. CONCLUSION: Coronary artery disease is the leading cause of death worldwide. To prevent mortality and morbidity from coronary artery disease, it is better to have knowledge of presenting complaint.