This work was conducted on 80 patient, complained of ischaemic heart disease, where Subdivided into 2 groups:-1.group1 ischaemic heart disease patients with cerebro- vascular manifestations.2.group2 ischaemic heart disease patients without cerebro- vascular manifestations.-All of our patients subjected to intima – media – thickness ( IMT) measurement by duplex study for carotid system.Conclusion:-Degree of intima- media thickness was significantly correlated with severity of ischaemic heart disease . In both group of patients.