The assessment of a long-term unfavourable health status in cardiology is carried on according to the Annex No. 2 of the directive No. 284/1995 of the Digest in the valid wording according to the chapter IX, section A. The author presents his experience with the assessment and findings from available textbooks on cardiology related to the issue.

        Key words: long-term unfavourable health status – degree of decline of ability of sustained working activity – ischaemic heart disease – heart valvular defects – cardiomyopathies – cardiac arythmias – heart operation – heart transplantation