The article analyses the results of examination of 234 patients with vasorenal hypertension and ischemic heart disease. The specific features of the clinical picture, electrocardiographic picture, the results of the bicycle ergometry test, scintigraphy of the myocardium with 201Te at the peak of the exercise, and aorto- and coronarography were revealed and described. The results of the captopril test in these patients were substantiated and analysed and on basis of the obtained data stage-by-stage operative treatment was recommended. It was proved that aorto-coronary shunt must be formed in such patients along with dilatation or operative correction of stenosis of the renal arteries. The first results of operative treatment are reported.