Introduction. The presence of geriatric syndromes in patients with cardiopathology (CHD, AH) negatively affects the quality of life, but the latter is rarely considered in the context of the dominance of senile asthenia syndrome in the elderly. The aim of the study - analysis of the specifics of the geriatric status of elderly patients with combined arterial hypertension and coronary heart disease. Material and methods. On the basis of the Voronezh Regional Clinical Hospital, a comprehensive geriatric assessment of 208 patients aged 60-74 with coronary artery disease in the form of stable angina pectoris and 223 patients of the same age with combined hypertension and coronary heart disease was carried out. During the examination of patients, the leading geriatric syndromes were analyzed, which are subject to assessment in accordance with methodological recommendations prepared under the guidance of the chief geriatrician of the Russian Federation O.N. Tkacheva. The results of the study. Among the studied geriatric syndromes in patients with combined hypertension and coronary heart disease, the syndrome of senile asthenia, hypomobility syndrome, and depression are mainly represented. It is noteworthy that among patients with hypertension and coronary heart disease, sarcopenia syndrome, depression and senile asthenia were more often detected. The quality of life of patients with hypertension and coronary heart disease is significantly lower than that of patients of the same age only with coronary heart disease, which, of course, is associated with the severity of comparable cardiovascular diseases. Conclusion. Among elderly patients with hypertension and coronary heart disease, the prevalence of most of the studied geriatric syndromes is significantly higher compared with patients aged 60-74 years with coronary heart disease, with the exception of anxiety syndrome. The higher burden of elderly patients with hypertension and CHD with geriatric syndromes significantly reduces the quality of life than CHD.