In the process of carrying out medikal checkups of miners a shop physician must take an active part in forming groups at risk of ischemic heart disease (IHD) and in ensuring dynamic preshift and postshift monitoring of the state of miners' cardiovascular system through the use of comprehensive methodological complex and further health promotion of this occupational group. Those attributed to the groups of extreme risk must discontinue their work in a mine. It was necessary to find some appropriate employment for them in order to avoid their contact with colliery occupational conditions. Early conditions of IHD by means of the suggested complex and timely appropriate employment promoted better diagnosis of atypical early forms of IHD and prevention of its complications.