To highlight various predictive, relative and contributory risk factors in the causation of ischemic heart diseases. A retrospective study was conducted in which about 150 diagnosed cases were studied in rural population at Budhney, peshawar between April 1997 and July 1998. The patients were interviewed for specific period, filling the questionnaires prepared for this purpose. the economical background, personal and environmental life style, frequency of consumption of vital foods, fresh fruits and vegetables, family history of ischemic heart diseases, exercise entertainments, social setup and tense and serious moods. The survey unveiled a chain of multifactor causation, which is not usually taken into account in our cultural setup like excessive consumption of fatty food, type A personality, sedentary life style, lack of regular exercise and competitive stressful and ambitious life conditions.