184 patients with arterial hypertension (AH) were studied. 63 of them had essential hypertension, 49 had renovascular hypertension, 27 had Leriche's syndrome, 38 had aortal aneurysms and 7 had coarctation of aorta. MR-tomography (MRT) gave satisfactory enough findings in diagnosis of vascular pathology in patients with essential hypertension as well as in those with symptomatic hypertensions of vascular origin. Criteria for assessment of vessels state and symptoms of various types of vascular pathology, such as stenosis and aorta aneurysm, were developed. In essential hypertension MRT may show early aortic alterations and dependence of their degree on duration and severity of the disease. The method makes it possible to assess the state of inner organs simultaneously with the investigation of the vessels which is of great importance for the patients to whom surgical treatment is recommended.