Abstract: According to the information provided by the World Health Association about 20 000 000 people die of diseases of blood circulatory system, and half of these deaths are caused by the various forms of ishemic heart disease.  In Russia the cases of ishemic heart disease cause most of the sudden deaths, studied by the medicolegists. While various forms of chronic ishemic heart disease cause no difficulties in their morphologial diagnosis, the medic doing a post-mortem may incounter difficulties with establishing the diagnosis, when dealing with the acute forms of ishemic heart disease, especially acute coronary insufficency, or ishemic stage of miocardal infarction.  Due to the above-mentioned reasons the authors analyzed the data on general death rate structure and death rate due to various forms of ishemic heart disease for hte period of 2000 to 2012 according to the data of the thanatologic department of the Novosibirsc Regional Bureau for Judicial Medical Expertise.  According to the data received by the authors, the structure of judicial medical autopsies has undergone some changes in the last 12 years, which is due to a larger number of non-violent deaths. At the same time the general number of autopsies was insufficiently larger. For example, in 2000 the general number of judicial medical autopsies in Novosibirsk was 6072 cases, and in 2012 - 6391 cases.