Introduction : Elderly are a vulnerable group in decline physically, mentally, and socially.Physical deterioration in the elderly can be seen from the vulnerability of the elderly todegenerative diseases such as hypertension. In 2013 the prevalence rate of hypertension inIndonesia reached 31.7%. One way to lower blood pressure in hypertensive patients is toperform music therapy. Music therapy can help a person feel relaxed, giving rise tophysiological effects such as regular pulse and lowers the resistance in the peripheralvascular.Aim : This study aims to know the influence of Islamic religious music therapy to decreaseblood pressure in the elderly with hypertension.Methods : This study design is a Pre-Experimental One Group Pre-Post Test Design with 54respondents. Selection of the samples in this study using purposive sampling method.Results : The results showed the average gap reduction in blood pressure after treatment ofIslamic religious music is systolic 6.03 mmHg and diastolic 4.14 mmHg with p