The aim of the work was to study prevalence of arterial hypertension (AH) in young subjects and its clinical features in patients with vibration disease. The analysis included 652 medical histories of patients at the age of 22-72 years treated for AH and vibration disease in 1997-2007. AH and CHD patients under 40 year of age comprised 18.3% (somewhat more than in the general population) and 9.1% respectively. Grade I and II AH was diagnosed in 48.7 and 40% of the patients. Capillaroscopy revealed predominance of angiospastic syndrome (54.2%) and rheovasography decreased peripheral vascular tone and radial artery pulse. Plasma cholesterol level in young patients was 5.68 +/- 0.99 mmol/l, hypercholesterimenmia occurred in 69.4%. Vibration was shown to be an additional risk factor of AH development and progression. It is concluded that early diagnosis and treatment of AH is paramount for the prevention of cardiovascular complications in young patients.