The survival of elderly patients with heart failure varies from person to person. When strictly treated and controlled, patients usually live as long as normal people, but there are some individual differences, and there is no exact clinical time point for how long they can live. Heart failure is the end-stage of heart disease and can have different survival periods depending on the heart disease. For example, patients with coronary heart disease may progress to heart failure, but there are interventional treatment modalities and more drugs to delay heart failure, which can prolong the patient’s survival. However, in some patients with acute illnesses, heart failure develops rapidly or is delayed because the patient is not treated in time, the treatment is not effective and the patient may die because the heart is unable to reorganize the blood circulation. And heart failure patients to lead to lung infection, may also aggravate the disease, leading to the patient’s death. Elderly patients with heart failure should improve type of strict health management, active treatment, timely medication, regular review, can obtain a better prognosis.