Elderly cardiac hypertrophy may be caused by hypertension, hypertrophic cardiomyopathy and other diseases, and may present with symptoms such as chest tightness, palpitations, dizziness, fatigue, and rotating vision. 1. Hypertension: If the blood pressure of the elderly is not well controlled, damage to target organs may occur and cardiac hypertrophy may occur. This part of the patient may on the one hand have the symptoms of hypertension, such as dizziness, fatigue, vision rotation, etc., but also have the phenomenon of ventricular hypertrophy, such as chest pain, palpitations, chest tightness. 2. Hypertrophic cardiomyopathy: it may be caused by factors such as heredity or gene mutation, and will have symptoms such as cardiac hypertrophy, cardiac thickening, fatigue, chest tightness, etc. It can be diagnosed by ECG, echocardiography, cardiac magnetic resonance and other tests. Therefore, elderly patients with cardiac hypertrophy should go to the hospital as soon as possible to further clarify the cause of cardiac hypertrophy and actively cooperate with doctors for treatment after diagnosis.