El objetivo de esta investigacion fue identificar las estrategias de afrontamiento que presentan los pacientes con hipertension e hipotension. Estudio analitico, de casos y controles, con 106 pacientes (34% hombres, 66% mujeres), de los cuales 55.7% son hipotensos y 44.3% hipertensos, a quienes se les aplico el Cuestionario de Estrategias de Afrontamiento Modificado. Se encontraron diferencias en las estrategias de afrontamiento que utilizan los pacientes con presion arterial alta y baja, siendo la solucion de problemas la estrategia de mayor uso reportada por los hipertensos (p ABSTRACT The aim of this research was to identify coping strategies by patients with hypertension and hypotension. Analytical study of cases and control with 106 patients (34% men, 66% women), from which 55.7% hypotensive and 44.3% hypertensive were evaluated by the Coping Strategies Questionnaire Modified. We found differences on the coping skills used by patients with high blood pressure and those with low blood pressure. We found differences in the coping skills used by patients with high blood pressure and those with low blood pressure. Meaningful differences in the coping strategies of problem solving (p