Nowadays, more and more people have high blood pressure, diabetes, hyperlipidemia, heart disease, which often lead to these diseases is the improper diet, less exercise, irregular rest time and some other habits. According to the review, it is known that the basic pathological changes of hypertension combined with heart failure are spasm of small blood vessels in the whole body, endothelial damage and local ischemia, which affects the blood perfusion of all organs in the whole body system to reduce the amount of blood, vascular endothelial damage when the permeability is increased, the leakage of fluids and proteins, which manifests as a rise in blood pressure, proteinuria, oedema and haematoconcentration, hepatosplenomegaly, diastolic murmur of the heart and more than 2 systolic murmur, and other clinical manifestations as follows Palpitation, chest tightness, shortness of breath, double lower extremity edema, hepatosplenomegaly, and in severe cases, pathophysiological changes occur in the heart, brain, liver, kidneys and placenta, which can lead to convulsions, coma, and full hematoma. When evaluating patients with this disease, the evaluation includes health history, physical condition, psycho-social support, and auxiliary examination. In terms of health history, it is necessary to ask about the history of cardiac disease and its diagnosis and treatment and changes in hypertension, the triggering factors, whether there is proteinuria, edema, headache, palpitations, changes in vision, and epigastric discomfort. In terms of physical condition, the high and low levels of blood pressure have a direct relationship with the disease, and the value of the blood pressure should be measured and compared with the basal blood pressure. In terms of physical condition, high blood pressure is directly related to the disease, the measured blood pressure value should be compared with the basal blood pressure, the person who has elevated blood pressure for the first time should take a rest for one hour and then repeat the measurement, edema condition, conscious symptoms, whether there is headache, blurred vision, epigastric discomfort, etc. In terms of psychological_social support, the patient may have depression, sadness, irritability, etc., and it is necessary to comfort the patient in time. Hypertension combined with heart failure patients should pay more attention to the changes in their condition, more to care for them, pay attention to diet, low salt, light diet, pay attention to bed rest, can not do intense activities, to maintain a happy mood, there are uncomfortable places must be timely to say, to timely treatment.