Heart failure blood pressure to 200mmHg in the elderly is not normal. The blood pressure level of the elderly is also similar to normal people, if the blood pressure ≥ 140/90mmHg should be considered to have hypertension, if the blood pressure level reaches 200mmHg, belongs to the severe hypertension, reaches the level of hypertension III, can lead to a significant increase in the afterload of the left heart, which may lead to the onset of heart failure. Heart failure patients if the blood pressure reaches 200mmHg, to quickly give antihypertensive treatment, commonly used drugs are sodium nitroprusside, nitroglycerin, can quickly reduce the blood pressure level through intravenous infusion, at the same time to give diuretic treatment, after active treatment, the patient’s symptoms of heart failure can be relieved. Heart failure patients usually need to control the blood pressure level, otherwise the sudden rise in blood pressure level will lead to the onset of acute heart failure, under the guidance of the physician to adjust the treatment program.