Background: Hypertension is a chronic condition often referred to as high blood pressure that increases in the arterial membrane, which forces the heart to pump and causes an increase in arteries throughout the body, blood pressure exceeds the systolic number 140 mmHg and diastolic 90 mmHg. Purpose: to determine To determine risk factor profile of hypertension in elderly patients. Method: this research method is a descriptive survey research design to describe hypertension patients with Accidental Sampling sampling technique the population of this study were elderly people with hypertension at the Puskesmas Km 11 Siempat, Nempu Hulu District with a sample size of 49 respondents and willing to be research subjects. Results: Results: The description of the results of this study is that the majority of elderly people experience mild hypertension 73.47%, then severe hypertension 22.45% and hypertension 08%, the majority of ages 46-59 years 53.06%, female gender 79.60%, do not consume salt 63.26, do not smoke 77.56, the majority of 65.30%, obese BMI 23-29.9 as much as 65.30%, not hereditary 79.60%, evel stres Lightweight 61.22%, with the Chi-Square test describing the risk factors for elderly people who experience hypertension include age (p=0.001), gender (p=0.025). 001), Gender (p=0.001), Body Mass Index / BMI (0.085), Stress level (p=0.021). Consumption of Salty / Salt, smoking does not describe the risk factors in the elderly who experience hypertension. Suggestion: Health workers provide more intensive education to the elderly.