Chronic ischemic heart failure has a high relevancy especially in Saxony-Anhalt. In order to identify regional peculiarities 449 patients, who had been treated at Universitätsklinikum Halle between 01 Dec 1995 and 31 May 2007, were retrospectively analyzed. They were fairly young (64,6±10,1 y.) and 73,8% of them were male. 66,7% were suffering from a 3-vessel-disease, 51,1% were in NYHA-degree III, 8,1% had an EF <20,0%. Relevant comorbidities were an arterial hypertonia(74,0%), diabetes mellitus(43,3%), adiposity(26,8%). The most common reasons for hospitalisation were an ACS(45,9%) and dyspnoea(32,9%). A correlation was shown between the CPI, the prevalence for tachycardia as well as the numbers of diseased coronary vessels and the NYHA-degree. Women received ACE-inhibitors/AT1-antagonists less frequently, men and patients >60 y.o. were prescribed bblockers and statins less often. Considering the high cardiovascular risk-profile, the Universitätsklinikum Halle showed a strong conformity with guideline-oriented treatmentrates. However, particular substance-groups as well as ICD-implantations with an ED <35% should be reassessed.