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The paper describes a clinical case of developing coronary heart disease in a young man, by analyzing the specific features of the disease and performed therapy. It discusses the management of this man according to the current recommendations and evidence-based medicine. The paper gives evidence for the importance of controlling heart rate in patients with angina pectoris. The most rational combinations of anti-ischemic agents for clinical application are discussed. Particular emphasis is laid on the selective If channel inhibitor ivabradine and its clinical effects: its good antianginal activity and ability to reduce the risk of cardiovascular events.