Aim. To elucidate relationships brain-heart in hemorrhagic stroke depending on the size and location of hematoma and initial state of the heart. Material and methods. Clinical and paraclinical methods were used in acute and rehabilitation periods in 160 patients with hemorrhagic stroke. Results. Symptoms of cerebrocardial syndrome in hemorrhagic stroke include arrhythmias (tachycardia, bradycardia, extrasystole, cardiac fibrillation, sick sinus syndrome), blocks (transient bundle-branch block), myocardial dystrophy, in IHD-ischemic myocardial disorders up to subendocardial myocardial infarction. Its severity in massive hemispherical hematomas was due to compression of the brain trunk. Conclusion. Pathogenesis of cerebrocardial syndrome rests on impaired central autonomic regulation occurring in stroke.