Heart failure in the elderly should prevent respiratory infections, reduce cardiac load, and treat primary diseases. 1. Prevent respiratory infections: respiratory infections are the main triggering factor for heart failure in elderly patients, so we should pay attention to increasing resistance and reducing the risk of respiratory infections. 2. Reduce cardiac load: elderly patients with heart failure are mainly treated with medications to reduce cardiac load, such as diuretics furosemide, hydrochlorothiazide, vasodilator drugs isosorbide nitrate, patients with atrial fibrillation can take digoxin orally, and patients with an enlarged heart need to take sakubutravir vasotecan orally. 3. Treatment of primary diseases: to clarify the patient’s heart failure of the primary disease, coronary heart disease patients need oral aspirin atorvastatin and other drugs, heart valve disease patients if necessary to replace the valve. To be actively treated under the guidance of the physician, to develop a specific treatment program.