The progressive growth of the elderly population has become one of the most challenging global public health issues. Aging is a natural process where irreversible damage to the intracellular exceeds the possibility of self-repair. The aging process is associated with degenerative processes on the heart valves, especially the aortic and mitral. Age-related changes include calcifications and amyloid deposition of both mitral and aortic valves; in advanced form, it can lead to damage to the valves. The aorta dilates and tilts rightward on the interventricular septum. It is important to differentiate the cardiac manifestations of normal aging, which do not require medical treatment of heart disease in an older patient, and situations where the changes are considered pathologic and no longer “normal aging”.