Background: Primary care has an important role in cardiovascular risk management and a minimum size of scale of primary care practices may be needed for efficient delivery of managing and diagnosis of cardiac diseases. Objectives: this narrative review was aimed to discuss the diagnostic and management approaches to cardiac diseases, and the ability to prevent it in primary care setting. Methodology: A literature search was conducted in November 2020 using PubMed, CINAHL Plus, and PsycINFO. In PubMed the following search terms were used: family practice, heart disease, chronic heart diseases, primary care, diagnosis, management. Conclusion: Variety of CVD patients in family medicine practice has very important location in morbidity overall number of health services users. Management CVD quality in family doctor team is acceptable, all signs are filled almost in huge portion, that’s provides extremely acceptable avoidance CVD management and quality of clinical services. Medical care physicians need structured methods to detecting cardiac arrest; these approaches ought to involve stratifying patients into risk groups and assessing them with unbiased tests. In many cases, there is no immediate alternative to echocardiography to confirm the diagnosis and identify the etiology.