Objective To observe efficiency of health management for elderly hypertensive patients through WeChat applet. Methods Out of 130 elderly hypertensive patients admitted to the Outpatient Cardiology Clinic and Physical Examination Center in Chinese PLA Hospital No.305 from January to December 2018,10 were lost to follow-up due to inability to return to the clinic or change of contact information. 120 were enrolled for the study [68 males and 52 females; aged 65-78 (68.2±2.6) years]. They were divided into two groups according to the first visit time successively:the intervention group (n=60) who received multidisciplinary health management using WeChat applet and the routine group (n=60) who received routine health education. The two groups were compared at 3 and 6 months in systolic blood pressure, diastolic blood pressure, body composition parameters, anthropological para-meters, patient compliance and self-efficacy. SPSS statistics 21.0 was used for data analysis. According to different data type,t test or χ² test was used for data comparison between the two groups.Results At 3 and 6 months as compared with pre-intervention, systolic and diastolic blood pressures were reduced in both groups. Systolic and diastolic blood pressures were more significantly reduced in the intervention group than in the routine group (P<0.05). Body mass index, waist circumference, waist-to-hip ratio, percentage of body fat, visceral fat area, and abdominal obesity were all reduced in the intervention group. Medication compliance and self-efficacy were improved in the intervention group with statistically significant difference (P<0.05). Conclusion Employment of WeChat applet for health management is conducive to controlling blood pressure, improving body fat distribution, improving medication compliance and self-efficacy in the elderly patients with hypertension.