The principal directions of the formed project of the Republican program having a special purpose Healthy heart in 1999 2009 the program of primary and secondary prevention of the basic cardiovascular diseases in Tatarstan Republic are given. Recommendation of suggestions of this program will make it possible to economize up to 40% of means by decreasing the number of patients as a whole, by reducing expenditures connected with payment of disability pensions and other medicosocial expenses.