ABSTRACT
Heart failure is a geriatric syndrome that is associated with high morbidity and mortality. Prevention of heart failure in older adults should focus on better management of antecedent risk factors such as hypertension control, smoking cessation and physical activity. Older patients with heart failure and reduced ejection fraction should be treated with evidence-based therapy with careful fluid management and judicious use of diuretics. Use of devices and surgical interventions should be individualized, especially in frail older adults. Palliative and hospice care should be considered for those with end-stage heart failure.
