Heart failure in the 80s requires active treatment, the main treatment modalities are general treatment, drug therapy, non-pharmacological treatment and so on. 1. General treatment: the goal of heart failure treatment is to prevent and slow down the development of heart failure, and to actively prevent the occurrence of complications for heart failure in eighty-somethings. Therefore, first of all, general treatment is needed to improve the lifestyle, appropriate rest, low-salt and low-fat diet, appropriate weight control, and actively treat the cause of the disease, while avoiding cold and infection. 2. Drug therapy: The drug therapy for heart failure mainly includes cardiotonic drugs such as digoxin, hairy flower glycoside C, etc.; diuretic drugs such as furosemide, spironolactone, etc.; β-blockers such as metoprolol, bisoprolol, etc.; and RAAS inhibitors such as enalapril and valsartan. Vasodilator drugs such as nitroglycerin, sodium nitroprusside, etc.; vasoactive drugs such as dopamine, dobutamine, etc.; and dagliflozin can be used in the treatment of heart failure. 3. Non-pharmacological treatment: Some patients with heart failure have atrial, interventricular and/or intraventricular contraction dyssynchrony, which further leads to a decrease in myocardial contractility and can be treated with cardiac resynchronization. Many patients with moderate to severe heart failure die of sudden cardiac death due to malignant ventricular arrhythmias, which can be treated with implantable cardioverter-defibrillator therapy. The treatment of heart failure in the elderly needs to be standardized under the guidance of a professional physician, do not take medication without authorization, to avoid the occurrence of adverse reactions, resulting in adverse consequences.