Results The study results show that the patients with ischemic heart diseases are fairly adhere to therapeutic recommendations. And there is a significant relationship of the residency, gender, and the patients occupational status on their adherence to therapeutic recommendations. Conclusion, There is a deficient in the patients' adherence to therapeutic recommendations. Recommendations, An intensive comprehensive studies could be conducted to assess the patients adherence to therapeutic recommendations and the factors that may affect such adherence, with a suitable solutions for these factors to improve the level of patients adherence.