In China, the prevalence of hypertension among the elderly aged 60 and above is nearly 50%, while the treatment rate and blood pressure control rate of the elderly hypertensive population are only 32.2% and 7.6%. Hypertension is the most important risk factor for cardiovascular and cerebrovascular disease morbidity and mortality in the elderly population in China. Hypertension in the elderly has the following characteristics Increased systolic blood pressure and increased pulse pressure. Pulse pressure in the elderly is positively correlated with total mortality and cardiovascular events, which means that the higher the pulse pressure, the higher the total mortality and cardiovascular event rate. Zhou Lifu, Department of Neurology, Kailuan General Hospital Blood pressure fluctuates widely, as evidenced by an increase in early morning hypertension and an increase in hypertension combined with postural hypotension and postprandial hypotension. There is an increased incidence of abnormal circadian rhythm of blood pressure. This is manifested by a decrease in blood pressure at night of less than 10% (non-adventurous) and more than 20% (superadventurous), leading to an increased risk of damage to the heart, brain, kidneys and other organs. The goal of treatment for elderly patients with hypertension is to minimize the risk of cardiovascular complications and death. Treatment of all reversible cardiovascular and cerebrovascular risk factors, subclinical target organ damage, and various comorbid clinical conditions is required. Starting therapeutic blood pressure value: above 150/90 mmHg. Target values for blood pressure reduction 1. Patients over 65 years of age should have their blood pressure reduced to less than 150/90 mmHg, preferably to less than 140/90 mmHg if tolerated. 2.Patients over 80 years old should not be lower than 130/60mmHg in general. 3.Patients with hypertension combined with diabetes, coronary artery disease, heart failure and renal insufficiency in the elderly should have a blood pressure lowering target of less than 140/90mmHg. Blood pressure lowering in the elderly should emphasize achieving the systolic blood pressure target, while avoiding excessive lowering of blood pressure, and gradually lowering the blood pressure target under the premise that the patient can tolerate the blood pressure lowering treatment, and avoiding too fast Avoid too rapid blood pressure lowering.