Abstract: Objective: To explore the value of echocardiography in the diagnosis of senile calcified valvular heart disease(CVHD).Methods: The clinical data of echocardiography in 368 elderly patients were retrospectively analyzed.The incidences of CVHD between 60 to 69,70 to 79 and 80 to 89 years old patients were compared,the differences of the incidence in different parts and ages CVHD patients were analyzed.The involvement of the heart valve,hemodynamic change,cardiac enlargement,dysfunction and characteristics of echocardiography in CVHD patients were analyzed.Results: Ninty-four CVHD cases in 368 senile patients were detected by echocardiography,the total incidence of which was 25.54%.With the increasing of age,the incidence of CVHD increased(P < 0.05).The difference of the incidence of simple aortic valve CVHD in different ages was statistically significant(P < 0.01).The hemodynamic change,hypertension,coronary heart disease,diabetes and hyperlipidemia in some patients were found.Conclusions: The incidence of CVHD in elderly patients increases with the increasing of age,the major disease location is the simple aortic valve,and the aortic and mitral stenosis,reflux,heart cavity expansion,hypertrophy and cardiac dysfunction are found in more than half of patients.Echocardiography can clearly show the valve calcification and location,monitor hemodynamic change,accurately assess the heart valve,which is no injury and worthy of clinical application.