Objective: Hypertension, dyslipidemia, and diabetes, which are established risk factors for cardiovascular disease (CVD), have been previously described among adults aged 65 and older, but have not been updated to reflect current national data. We assess prevalence, awareness, treatment and control rates among U.S. adults aged 65 and older with respect to hypertension, dyslipidemia, and diabetes, and describe predictors associated with awareness and management of these factors. Methods: Analysis of nationally representative data collected from adults aged 65 and older (n = 3810) participating in the National Health and Nutrition Examination Survey (NHANES) 1999-2004. Results: Women have a significantly higher prevalence of hypertension than men (76.6% vs 63.0%) and a significantly lower rate of control when treated pharmacologically (42.9% vs 57.9%). Dyslipidemia prevalence is 60.3% overall, and women are significantly more likely to be aware of their condition than men (71.1% vs 59.1%). Diabetes affects 21.2% of older adults, and 50.9% of prevalent cases are treated pharmacologically. Goal attainment among those treated is problematic for all three conditions--hypertension (48.8%), dyslipidemia (64.9%), and diabetes (50.4%). Having two or more doctor visits annually is associated with goal attainment for dyslipidemia. Conclusion: Knowledge of cardiovascular health in older adults and understanding gender gaps in awareness can help physicians and policymakers improve disease management and patient education programs.