Abstract:Elderly coronary heart disease (CHD) refers to the patients with coronary heart disease who aged ≥65 years. In the 21st century, China is growing into an aging society. The morbidity of CHD is getting higher, and the diseases also become one of the main diseases which lead to disability and death. In United States, CHD accounts for more than 1/2 among the death in the population aged ≥65 years, and more than 3/4 of the dead due to CHD are elderly people. The clinical manifestations and therapy of the elderly CHD has its own characteristics. In this paper, we briefly summarized the clinical features, diagnosis and therapy of the elderly CHD based on recent literature.