Background: Quality of life (QOL) is the over-all well-being of persons and societies, outlining negative
and positive structures of life. Heart failure is accompanied by bad quality of life, frequent entry to hospitals, high health costs and quick death. Study aim: Evaluate the quality of life for heart failure old age patients attending cardiac outpatient clinics in Assiut city Hospitals. Patients and methods: A descriptive research design was conducted. The total sample size was 280 old age patients who were taken by quota sample from 3 hospitals at Assiut City- Egypt. Two tools were used: the first tool was an interview questionnaire and the second tool were older people’s quality of life scale (OPQOL). Results: it was found that 59.3% of elderly patients were male with mean age ± SD was 65.10 ± 6.12, the highest mean scores were leisure and activities20.71±2.28, followed by social relationship, home and neighborhood, life overall, financial circumstance, psychological and emotional well-being and independence while the lowest mean scores were general health domains 8.36±2.07. Conclusion: Heart failure has a significant effect on the QOL of old age patients; poor QOL is associated with poor knowledge about disease of heart failure. Recommendations: Health educational programs for old age patients about how to improve QOL through maintain of optimal health, physical activity, healthy dietary habits, independency, stress management techniques, healthy sleep behavior, recreation, improve social relation, and life style.