Major cardiovascular risk factors were identified among men and women with coronary heart diseases (CHD) to define priorities of their secondary prevention in the Ingush Republic. The study enrolled 300 men (mean age 54±0.4 years) and 230 women (mean age 55.7±0.5 years) from 4 health care facilities of the Republic of Ingushetia. Smoking status and alcohol abuse were evaluated using the standard WHO questionnaires. The venous blood levels of total cholesterol and fasting glucose were measured to evaluate hyperlipidemia and carbohydrate metabolic disturbances. Among the men with CHD, every four (24.3%) persons are current smokers. The rate of smoking varies with age. If the smokers among CHD men aged 40-49 years are 44%, their number is halved among those aged 50-59 years; smokers among CHD men aged 60-69 years are as high as 13%. According to the results of a questionnaire survey, 36 (12%) out of 300 patients are alcohol abusers. Unlike smoking, no correlation was found between the frequency of alcohol consumption and age. Among the patients with CHD, arterial hypertension (AH) was detected in an average of 84.1% of cases: 81.3% for men and 86.9% for women. The mean duration of AH was 5.4±0.27 years in men and 6.1±0.26 years in women. The ECG signs of left ventricular hypertrophy were present in 51 and 44% of the male and female patients with CHD and AH, respectively. Hypercholesterolemia was the most common risk factor in the examined cohort, in an average of 93.7%. It was revealed in 96.7% of the men and in 90.7% of the women. Every three patients with CHD were observed to have moderate and severe cholesterolemia. Every five (22.8%) patients with CHD were found to have type 2 diabetes mellitus; the latter was first detected in 10.4% of the patients. The basic priorities of secondary prevention of secondary prevention of CHD in the Ingush Republic are adequate correction of hypercholesterolemia and arterial hypertension. Every four patients need a combination therapy for 3-4 risk factors and/or smoking and alcoholism control.