The adoption of a proper lifestyle in the elderly can lead to a significant reduction in the incidence of hypertension, and older patients with hypertension should emphasize improving their lifestyle to get better results. Secondly, careful self-monitoring of blood pressure is also necessary. Occasional blood pressure measurements during hospital visits do not fully reflect the pattern of blood pressure changes, but through blood pressure diaries and weekly diaries, physicians can better grasp the changes in their own blood pressure fluctuations and formulate timely treatment plans. Pharmacotherapy is the most important part of hypertension treatment. Pharmacotherapy to lower blood pressure can effectively reduce the morbidity and mortality of cardiovascular complications and prevent the occurrence and development of stroke, coronary heart disease, heart failure and kidney disease. When administering pharmacological antihypertensive therapy, the following points should be noted: 1. The main purpose of treating hypertension is to minimize the total risk of cardiovascular death and disability, which requires that physicians should first assess risk factors, the degree of target organ damage and related diseases, and stratify patients by total cardiovascular risk to determine what kind of patients should This requires the physician to assess risk factors, target organ damage and related diseases, and to stratify patients by total cardiovascular risk to determine which patients should be started on pharmacological antihypertensive therapy, as well as the target and intensity of treatment. 2. Achievement of antihypertensive targets Generally, the target blood pressure of elderly patients with hypertension should be to reduce blood pressure at least to normal high values (140/90 mmHg), but because arteriosclerosis in the elderly leads to a decrease in arterial elasticity and thus an increase in pulse pressure, in order to ensure blood supply to tissues and organs, diastolic blood pressure is generally not reduced to below 65 mmHg. 3, preferred diuretics and calcium antagonists Why should diuretics and calcium antagonists be the first choice for elderly patients with hypertension? Because a large number of international and domestic randomized clinical trials have been conducted to prove the exact efficacy of the above two categories of drugs in elderly hypertension. Of course, with the progress of research, more and more antihypertensive drugs will be applied to elderly patients with hypertension. 4, pay attention to the impact of antihypertensive drugs on the body Elderly hypertensive patients need to start with small doses to obtain the possible efficacy and minimize adverse effects, to prevent the “first dose effect” and the occurrence of postural hypotension. Unless it is a hypertensive emergency, blood pressure should usually be lowered slowly to prevent the blood pressure from falling too fast and too low, resulting in ischemia of important organs. At the same time, attention should be paid to the adverse drug reactions, because some elderly hypertensive patients may be aggravated by the discomfort brought about by antihypertensive drugs and reduce the compliance of treatment. 5, reasonable combination of drugs The preferred drug efficacy is not good or need to increase the antihypertensive effect, not blindly single drug increase, but should be changed or combination of drugs. Several studies have shown that it is necessary to use two or more drugs in combination to achieve a satisfactory antihypertensive effect in elderly patients with hypertension. A reasonable combination of drugs can maximize blood pressure reduction while minimizing adverse effects.