The best treatment for heart failure in the elderly is to base heart failure treatment on reasonable lifestyle control according to the patient’s own condition. Medication is the basis of heart failure treatment and needs to be combined with lifestyle control on top of medication. The elderly heart failure can be treated with pharmacological and non-pharmacological treatment. 1, drug treatment Improve symptoms: Patients with heart failure usually show circulatory stasis and insufficient perfusion of tissues and organs. Diuretics can rapidly improve dyspnea, cough, sputum and lower limb edema caused by circulatory stasis, such as furosemide, hydrochlorothiazide and other drugs. Cardiotonic drugs can improve myocardial pumping and reduce weakness, fatigue, dizziness and panic caused by underperfusion, such as digoxin and other drugs. Vasodilator drugs can relieve chest tightness and shortness of breath. Improve prognosis: β-blockers can reduce myocardial oxygen consumption, slow down disease progression and reduce the risk of sudden death, such as medications like metoprolol and bisoprolol. Angiotensin-converting enzyme or angiotensin-converting enzyme inhibitor drugs can improve symptoms, delay myocardial remodeling and reduce mortality, such as perindopril, valsartan and other drugs. Aldosterone receptor antagonists can inhibit cardiovascular remodeling and improve long-term prognosis, such as spironolactone, eplerenone and other drugs. ARNI class drugs can reduce the risk of heart failure hospitalization and death and improve quality of life, such as sakubatril, valsartan sodium. 2. Non-pharmacological treatment Cardiac resynchronization therapy: for patients with chronic heart failure who are still symptomatic after pharmacological treatment, have asynchronous left and right ventricular contractions, and have an ejection fraction below 35%. Left ventricular assist device or heart transplantation: Heart transplantation is the ultimate treatment for patients with intractable heart failure. Left ventricular assist device is suitable for short-term transitional treatment before heart transplantation. 3, lifestyle control: pay attention to rest, diet, salt and water restriction, appropriate exercise, prevention of colds, with hypertension, diabetes, coronary artery disease, atrial fibrillation and other diseases to be treated for related diseases; in addition, regular review of relevant indicators should be conducted to detect problems in a timely manner and deal with them as early as possible to prevent aggravation of heart failure. 4, the difference between acute and chronic heart failure treatment: acute heart failure treatment needs to be based on chronic heart failure treatment, as soon as possible to relieve hypoxia and respiratory distress, the basic treatment includes oxygen, semi-prone position, control the volume of intake and output, when the symptoms are heavy can be used intravenously cardiac, diuretics, vasodilators as soon as possible to improve the symptoms. Heart failure is a common disease in the elderly, and the treatment should be individualized according to the doctor’s recommendations, in addition to the treatment with devices, with great emphasis on lifestyle control.