The number of people with cardiovascular disease (CVD) has been rising, and individual exposure to cardiovascular risk factors has increased significantly in China. The elderly, as a special population group, has high morbidity and mortality of CVD, bringing about heavy social and economic burdens. Health management and prevention of CVD can effectively reduce its morbidity and mortality in the elderly, not only prolonging their lives but also improving their quality of life. Reasonable ways include lifestyle intervention, controlling and monitoring of blood pressure, blood lipids and blood sugar, as well as taking low-dose aspirin. Health management mode for the elderly patients with CVD warrants individualization and assessment of frailty, comorbidity, polypharmacy and personal preferences.