Heart failure in the elderly includes acute heart failure episodes and chronic heart failure. Medications such as furosemide and metoprolol can be taken under doctor’s supervision, and surgery can be performed if necessary. 1. Acute heart failure (1) General treatment: ① Semi-recumbent position or sitting position, legs down. ② Oxygen: nasal cannula oxygen, non-invasive pressurized oxygen in severe cases. (2) Drug therapy: diuretic, cardiotonic, vasodilator, sedative, asthma. (1) Diuretic: eliminate pulmonary edema, improve dyspnea. Commonly used furosemide, torasemide and so on. ② cardiotonic: enhance myocardial contractility, increase cardiac output. Commonly used hairy flower glycosides, digoxin and so on. ③ Expand blood vessels: dilate arteries and veins, reduce the anterior and posterior load on the heart. Commonly used isosorbide nitrate, sodium nitroprusside and so on. ④Sedation: often push morphine sedation, reduce agitation, reduce the cardiac load. ⑤ Asthma: use theophylline to relieve bronchial spasm. 2. Chronic heart failure (1) General treatment: prevent triggers, such as infection, emotional excitement, strenuous activities, abuse of diuretics or antihypertensive drugs. (2) Etiologic treatment: coronary heart disease, diabetes mellitus, hypertension and so on. Such as coronary heart disease need to regulate lipid anti-plate therapy, etc., if necessary, stent or thrombolysis. Diabetes, hypertension control blood pressure, blood sugar. (3) Drug therapy: sacubitril valsartan/valsartan/perindopril, etc., bisoprolol/metoprolol, etc., spironolactone, dagliflozin/engelnidazole/cargliflozin, etc., the new tetralogy of anti-heart failure. (4) Non-pharmacological treatment: cardiac resynchronization, cardioverter defibrillation, heart transplantation, etc. Heart failure should be actively hospitalized and follow the professional doctor’s guidance for treatment and medication.