According to the classification and definition of hypertension currently used in China, hypertension is categorized into Grade 1, Grade 2 and Grade 3, simple systolic hypertension. Simple systolic hypertension is systolic blood pressure greater than or equal to 140mmHg and diastolic blood pressure less than 90mmHg, both increased systolic and diastolic blood pressure are risk factors for cardiovascular disease. Simple systolic hypertension is the most common type of hypertension in the elderly. Since hypertension in the elderly often coexists with a variety of diseases, the principle of individualization should be adopted for simple systolic hypertension in the elderly, so that the blood pressure can reach the standard. In conclusion, once the diagnosis of systolic hypertension is clear, it is important to bring blood pressure up to standard in order to avoid cardiovascular events.