Abstract: Heart failure management is complicated by aging， comorbidities， frailty and cognitive impairment， cachexia and so on. The paper focuses on specific recommmdations regarding monitoring and followup of the elderly with heart failure by 2016 ESC guidelines for diagnosis and treatment of acute and chronic heart failure. Discussion of treatment heart failure in elderly patients， evaluation of globalcondition and individual therapy are important. Introduction of thromboemolism  prophylaxia  in elderly patients with heart  failure. The current guidelines from evidence base for HF treatment is more limited as comorbidities were mostly an exclusion criterion in trials， management should change the way.

Key words: heart failure, diagnosis, treatment, aged, guidebooks