Objective: The issue of prevention of cardiac complications during non-cardiac elective surgery is an actual problem of anesthesiology. Decompensation of cardiac function is characteristic for the elderly, which may be the cause of postoperative lethality. Cardioprotective therapy may contributes to survival of cardiomyocytes under ischemia – hypoxia. In our real clinical practice only a few drugs with cardioprotective properties are introduced, in particular which include the amino acids L-arginine and L-carnitine. Affecting endothelial dysfunction, it energizes the cardiomyocyte. For the anesthesiologist also there is an important absence of negative hemodynamic action. The purpose of the study was to detect the presence of cardioprotective effect of the solution of L-arginine and L-carnitine by assessing the central hemodynamic effects in elderly patients in the perioperative period. Design and method: We examined 20 patients aged 60 to 81 years with cardiovascular comorbidities, which was performed by abdominal surgery in anesthesiology department of the Dnipropetrovsk City Multidisciplinary Clinical Hospital N 4. All patients in the preoperative period, as preparation for anesthesia and surgical intervention, received the solution of L-arginine and L-carnitine 100 ml intravenous, there was continued for the next three days at a daily dose in the postoperative period. To control the cardioprotective effect before surgery and after infusion, we used echocardiography and central hemodynamics by thoracic rheography (modified Kubichek technique, electrodes on the back). Results: In the study of echocardiography in patients receiving the solution of L-arginine and L-carnitine, during the entire period of the perioperative period, no significant variability of the main parameters (ejection fraction, volume of chambers of the heart) was observed. In the analysis of rheograms preoperatively in patients there was a hypokinetic type of hemodynamics with high vascular pressure. From 2 days there was a tendency to normal circulation, with simultaneous decrease of vascular resistance to normal indexes, the index of work of left ventricle decreased. Conclusions: the use of the the solution of L-arginine and L-carnitine in the perioperative period reduces the hemodynamic load on the myocardium and is appropriate in order to prevent cardiac complications of non-cardiac elective surgery in elderly patients.