The central hemodynamic state in 111 patients has been studied, 78 (70.27%) of them underwent surgical operation. The depression of central homodynamic indices which correlated with the severity of patients' state, cardiovascular system reserves, was revealed by means of current diagnostic procedures. Among the main reliable characteristics of central hemodynamic by which we can forecast consequences of disease are an ejection fraction of the left ventricle, stroke volume, and minute volume. In the process of preoperative preparation it is necessary to consider common peripheral vascular resistance fluctuation. An increase in this peripheral vascular resistance can lead to myocardial infarction, acute disorder of coronal blood flow, hypertension stroke. The optimal tactics of treatment of such patients with heart insufficiency is the correction of coronal blood flow after an operation and assessment the risk of carrying out an surgical operation.