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In a specialized hospital for the treatment of 63 patients with coronavirus disease, moderate and severe COVID-19 were monitored. These patients were diagnosed with coronary heart disease or arterial hypertension prior to COVID-19. According to computed tomography data, it was found that adherence to hypercoagulation and the severity of the clinical course of coronavirus disease in this category of patients does not depend on the proportion of lung tissue damage. Senile age and an increase in body mass index> 30 kg / m2 were found to be significant factors aggravating the processes of hypercoagulation.