〔Abstract〕 Objective To explore the efficacy of cardiopulmonary integration cardiac rehabilitation in the treatment of senile chronic heart failure. Methods 86 elderly patients with chronic heart failure treated in Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine from October 2018 to January 2021 were randomly divided into observation group and control group, with 43 cases in each group.The control group was only treated with routine anti heart failure treatment; The observation group was treated with cardiopulmonary integrated cardiac rehabilitation on the basis of the control group, and the curative effects of the two groups were compared. Results Before treatment, there was no significant difference in the indexes of cardiac function between the two groups (P > 0.05);After treatment, the left ventricular end systolic diameter (LVESD), left ventricular end diastolic diameter (LVEDD), left ventricular end systolic volume (LVESV) and left ventricular end diastolic volume (LVEDV) in the observation group were lower than those in the control group, and the left ventricular ejection fraction (LVEF) was higher than that in the control group, the differences were statistically significant(P < 0.05). Before treatment, there was no significant difference in the scores of quality of life between the two groups(P > 0.05); After treatment, the score of patients in the observation group was higher than that in the control group, the difference was statistically significant (P < 0.05). The incidence of adverse reactions in the observation group was 9.30%, lower than 32.56% in the control group, the difference was statistically significant (P < 0.05). Conclusion Cardiopulmonary integration cardiac rehabilitation therapy can not only improve patients' cardiac function and quality of life, but also reduce the incidence of adverse events such as pneumonia and ensure the quality of prognosis.