Objective To study the correlation between hyperuricemia (HUA) and other risk factors of coronary heart disease (CHD) in the elderly. Methods Totally 300 elderly CHD patients hospitalized from 2007 to 2009 in People’s Hospital,Peking University,were selected. Serum levels of uric acid,fasting blood glucose (FBG),blood pressure,total cholesterol,high density lipoprotein-cholesterol,low density lipoprotein-cholesterol and triglycerides were detected. The subjects’ age,sex,smoking history and body mass index (BMI) were also recorded. The correlation between HUA and other risk factors of CHD were analyzed. Results Among 300 CHD cases,HUA was confirmed in 192 cases,and 108 cases had normal uric acid levels. Logistic analysis showed that the level of serum uric acid was positively correlated with age,sex,blood pressure,serum lipid and BMI. The blood pressure,serum lipid levels and BMI were significantly higher in patients with HUA than in patients with normal uric acid level. Conclusion There is a high prevalence of HUA in CHD patients. HUA frequently co-exists with the disorders of blood pressure,disturbance of serum lipid and glucose metabolism. HUA is one of the risk factors for CHD.