The Biological characteristic of aging is a process which is irreversible, universal and detrimental. Knowledge about the normal morphologic and physiologic changes that accompany aging and the ability to discriminate between normal and pathologic states become increasingly important issues. Echocardiography is able to provide detailed information about cardiac anatomy and physiology, and is a cheap, safe, non-invasive procedure, particularly suitable for elderly people. Its non-invasive nature makes it convenient as a means of investigating aging changes during follow-up, and repeated measurements may be made over the course of many years. The information obtained often provides the clinician with sufficient detail to formulate a management plan, and serial studies may be conveniently performed to monitor progression of aging process, increasingly common in an elderly population.