Case Based Reasoning is a computer system that used for reasoning old knowledge to solve new problems. It works by looking at the closest old case to the new case. This research attempts to establish a system of CBR for diagnosing heart disease. The diagnosis process is done by inserting new cases containing symptoms into the system, then the similarity value calculation between cases uses the minkowski distance similarity. Case taken is the case with the highest similarity value. If a case does not succeed in the diagnosis or threshold less than 0.80, the case will be revised by experts. Revised successful cases are stored to add the system knowledge. Method with the best diagnostic result accuracy will be used in building the CBR system for heart disease diagnosis. The test results using medical records data validated by expert indicate that the system is able to recognize diseases heart using minskowski distance similarity correctly of 100 percent. Using minkowski get accuracy of 100 percent. Keywords : Case Based Reasoning, Minkowski Distance Similarity.