Introduction: The progressive senescence of earth’s population constitutes one of the main determinants of demographic phenomena in modern times. Taking into account the correlation between age and cardiovascular diseases (CVD), it is a fact that the constantly raising number of elderly people with such problems will be of great interest to public health, in future. The aim was to be comprehended how importance is to bear in mind by the clinician, the special problems of the older age during therapeutic interventions in these age groups. Method and material: The method οf this study included bibliography research from both the review and the research literature about aging and CVD . Results: The increasing incidence of the CVD and the growing cardiovascular risk in the elderly basically relies on the “normal” senescence of the cardiovascular system ,the degeneration of the remaining systems of the organism ,the aggregation and the cumulative influence of the standard cardiovascular risk factors and at last at the presence of severe diseases caused by the other systems or geriatric syndromes. Degeneration of the cardiovascular system and remaining systems of the organism like lungs, kidneys, e.t.c., and diseases affecting other systems are the most common factors to CVD. The gradual, however, normal degeneration of the cardiovascular system in combination with the senescence of the other systems of the organism, which lead to parallel diseases, cause cardiovascular events, worsening the prognosis even further. Conclusion: The clinician should be aware of all the procedures, which reduce the homeostatic supplies of the elderly, making vulnerable to life threatening diseases. The understanding of the psychological and the social status of the elder patient with cardiovascular problems and the synthesis of all the available data may lead to a global approach and to a proper treatment.