Objective To discuss the clinical characteristics of the elderly patients with calcific valvular heart disease (CVHD). Methods The clinical data of 230 CVHD patients aged over 60 years were enrolled. The diagnosis was confirmed by echocardiography. The patients’ data were retrospectively analyzed,including clinical manifestation,the results of echocardiography and other adjunctive examinations. Results CVHD was usually complicated by hypertension,coronary artery disease,and diabetes mellitus. In which,aortic valve was most frequently involved,followed by mitral valve. The calcified regions were more frequently seen in non coronary cusp than in right or left coronary cusp. The incidence of valvular regurgitation was higher than that of valvular stenosis. The incidence of mitral calcification was significantly higher in female than in male. The common cardiac function impairments were left ventricular diastolic dysfunction (82.3%),left atrial enlargement (37.1%) and left ventricular enlargement (18.5%). The common arrhythmia included premature beat (41.7%),atrial fibrillation (20.4%) and atrioventricular block (16.1%). Chest X-ray test revealed aortic arch calcification in 77.5% of cases. Biochemical test displayed dyslipidemia in 62.6% of patients. Conclusion CVHD has certain specific clinical manifestations and laboratory examination findings. The aortic arch calcification is helpful for its diagnosis. But,echocardiography is mandatory to reach a definite diagnosis of CVHD.