Objective was to study the hypertension and identify the relationship between systolic and intima-media thickness of carotid arteries, left ventricular mass, left ventricular mass index and cardiovascular risk factors in patients with chronic kidney disease stages 3 to 5.203 pre-dialysis patients with chronic kidney disease stages 3 to 5, and 66 healthy controls. Cross-sectional descriptive. Hypertension was observed in 71.29 percent CKD stages 3 - 5 patients and the more advanced stage, the higher rate of hypertension. There was positive correlation between systolic blood pressure and intima - media thickness of carotid arteries, left ventricular mass, left ventricular mass index. Hypertension increased the risk of having intima - media thickness of carotid arteries by 14 times. Age, total cholesterol, Ca x P product and GFR were independent risk factors for increasing the risk of hypertension in CKD stages 3 - 5 patients. The study found a high rate of hypertension in CKD stages 3 - 5 patients. Hypertension increased the risk of having intima - media thickness of carotid arteries. Lipid, calcium - phosphate metabolism disorders and the severity of kidney dysfunction are influenced by hypertension.