At present, China has entered an aging society, the incidence of senile vertigo complicated with cardiovascular and cerebrovascular diseases is increasing year by year, and the number and complexity of the complicated diseases are also increasing with age. In recent years, senile vertigo has been found to be associated with hypertension, stroke, coronary heart disease, atrial fibrillation, and other cardiovascular and cerebrovascular diseases. This article focuses on the incidence, etiology, pathophysiological mechanism, and risk factors of senile vertigo, expounding the relationship and interactive mechanism between senile vertigo and cardiovascular and cerebrovascular diseases,and reviews the latest research progress in and clinical medication of senile vertigo complicated with cardio-cerebrovascular diseases.