Increasing the number of patients with heart failure is observed in recent decades. This phenomenon is associated with an increase in the elderly population. The prevalence of heart failure increases proportionally with age according to research. The high prevalence of geriatric syndromes among elderly patients with heart failure, increases the relevance of the geriatric approach. Purpose: to explore the possibilities of combining geriatric and therapeutic approaches Materials and methods: the study involved 421 patients aged 65-84. All patients underwent a general clinical examination. To study geriatric syndromes, a comprehensive geriatric assessment (CGI) was performed using the specialized geriatric examination computer program. 57 patients were additionally assessed for pain intensity using a visual analogue scale (VAS). Results: significant differences were found in the prevalence rates of the following syndromes: delirium (CHF I-II FC: 1.4 ± 0.1 per 100 people; CHF III-IV FC: 6.1 ± 0.7 per 100 people), syndrome malnutrition (CHF I-II FC: 6.3 ± 0.9 per 100 people; CHF III-IV FC: 37.5 ± 2.2 per 100 people), cognitive impairment syndrome (CHF I-II FC: 47.3 ± 4.4 per 100 people; CHF III-IV FC: 68.2 ± 3.9 per 100 people), constipation syndrome (CHF I-II FC: 5.8 ± 2.4 per 100 people; CHF III-IV FC: 18.9 ± 2.1 per 100 people), fall syndrome (CHF I-II FC: 5.0 ± 1.1 per 100 people; CHF III-IV: 57.2 ± 6.3 per 100 people) sarcopenia (CHF I-II FC: 4.2 ± 0.3 per 100 people; CHF III-IV: 39.2 ± 4.1 per 100 people), anxiety-depressive syndrome (CHF I-II FC: 17, 2 ± 4.4 per 100 people; CHF III-IV: 39.5 ± 5.1 per 100 people), sleep disturbance syndrome (CHF I-II FC: 18.0 ± 4.7 per 100 people; CHF III- IV FC: 40.1 ± 4.3 per 100 people) (p