This essay examines the prevalence of cardiovascular diseases (CVDs) in elderly Australians and analyzes the impact of social determinants of health (SDOH) on this population. It highlights the disproportionate burden of CVDs in older adults, particularly those with lower socioeconomic status and social isolation. The essay discusses how aging-related physiological changes, coupled with risk factors like hypertension, smoking, and poor lifestyle choices, contribute to CVD development. It also reviews the Australian Health Policy Collaboration (AHPC) and its focus on absolute risk assessment for CVD prevention, while pointing out gaps in addressing broader population-wide strategies. The essay concludes by identifying key stakeholders, including policymakers, healthcare professionals, and community health workers, who can play a crucial role in addressing SDOH and reducing CVD prevalence in elderly Australians through targeted interventions and policy changes.