HEART FAILURE: Edited by Haissam HaddadManagement of heart failure in the elderlyAlghamdi, Faisal; Chan, Michael Author Information aDivision of Cardiology, Department of Medicine, Mazankowski Alberta Heart Institute bDivision of Cardiology, Royal Alexandra Hospital, University of Alberta, Edmonton, Alberta, Canada Correspondence to Dr Michael Chan, MBBS, FRCPC, FACC, Associate Clinical Professor of Medicine, Royal Alexandra Hospital, CK Hui Heart Centre (Robbins Pavilion), 6th Floor, Room 6S132B-8, 10240 Kingsway Avenue, Edmonton, AB T5H 3V9, Canada. Tel: +1 780 735 5962; fax: +1 866 880 0776; e-mail: [email protected] Current Opinion in Cardiology 32(2):p 217-223, March 2017. | DOI: 10.1097/HCO.0000000000000375 Buy Metrics Abstract Purpose of review Heart failure is a major chronic illness with no definitive cure. With improving healthcare and with an aging population in many countries, heart failure has become a common disease of the elderly. Pharmacological management of heart failure in the elderly remains a challenge. The syndrome of heart failure cannot be isolated from other comorbidities, which are very common in this population. The purpose of this review is to assist practicing clinicians to more effectively make decisions about management of heart failure in the elderly. Recent findings In this review, we will try to integrate recent research studies, recent guidelines, and new treatment modalities, and discuss some controversies. Summary In general, the elderly patient with heart failure should be treated according to current heart failure guidelines; however, untailored heart failure management may cause untoward effects in this age group and may worsen clinical outcome. Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.