objective to should emphasize the elderly education. Methods for condition assessment, according to the level of blood pressure, cardiovascular risk factors, risk stratification, determine if it is low risk, medium risk, high or very high risk group. Results the part of hypertension is caused by pre senile hypertension evolved, mostly due to large arterial elasticity, often expressed as simple systolic hypertension. Conclusions the elderly hypertensive advocate early lifestyle intervention, drug treatment according to different situation, blood pressure target in the elderly is below 140/90mmhg, with special attention to reduce systolic blood pressure.