There is no specific drug for heart failure in the elderly, and the effect of treatment may vary from patient to patient due to large individual differences. Heart failure drug therapy mainly includes diuretics, angiotensin converting enzyme inhibitors, beta-blockers, positive inotropic agents, vasodilators and so on. 1. Diuretics: can relieve heart failure symptoms by improving fluid retention, commonly used drugs include furosemide, spironolactone, hydrochlorothiazide and so on. 2. Angiotensin-converting enzyme inhibitors: can inhibit vasoconstriction, reduce myocardial remodeling, improve clinical symptoms, commonly used drugs are captopril, valsartan, eplerenone and so on. 3. β-blockers: such as metoprolol, can inhibit sympathetic nerve activity, reduce symptoms and improve the prognosis. 4. Positive inotropic drugs: commonly used drugs such as digoxin and other digitalis drugs, dopamine, etc., which can increase myocardial contractility, increase the pumping capacity of the heart and improve symptoms. 5. Vasodilator drugs: mostly used in acute left heart failure, commonly used drugs are sodium nitroprusside, nitroglycerin, etc., by reducing the afterload to improve the ejection capacity of the heart. When heart failure occurs, it should be diagnosed and treated as early as possible, follow the doctor’s instructions for medication, and do not change the treatment program on your own.