Heart failure is a major chronic condition facing many older adults. In fact, over 80% of all heart failure patients are 65 years and older. In heart failure, the heart cannot pump enough blood through the body. The heart cannot fill with enough blood or pump with enough force, or both. Heart failure is the most common reason for hospital admission in patients over 65 with about 900,000 admissions a year in the US. Because heart failure is a syndrome and not a disease, underlying causes must be sought and determined. Heart failure develops over time as the pumping action of the heart gets weaker. Heart failure among older adults begins with other undiagnosed or poorly managed chronic conditions and is compounded by the effects of aging.