Objective To analyze the risk factors and chronic disease management of community-acquired pneumonia patients with heart failure. Methods One hundred patients with commnity-acquired pneumonia

who were collected from Beijing Changping Hospital of Chinese Medicine from January 2020 to October 2020

were divided into two groups: 43 cases with heart failure as observation group

and 57 cases without heart failure as control group. The risk factors were compared in two groups

in which included age

smoking

chronic obstructive pulmonary disease（COPD）

hypertension

diabetes

renal insufficiency. Results A total of 100 patients

43 patients with heart failure as the observation group

21 males and 22 females

aged 61-90 years（77.28 ±10.91 years）; 57 cases without heart failure were the control group

of which There were 42 males and 15 females

aged 24-98 years（73.42±15.64 years）.Forty-three patients with heart failure underwent echocardiography. Among them

12 patients had LVEF<50%

indicating left ventricular systolic insufficiency. 31 patients with LVEF>50% were left ventricular diastolic dysfunction. Logistic regression analysis showed that smoking

organic heart disease

hypertension

diabetes

renal insufficiency

age

and chronic obstructive pulmonary disease were independent risk factors for patients with community-acquired pneumonia and heart failure（p<0.05）. Conclusions Smoking

chronic obstructive pulmonary disease（COPD）

long-term bed rest

hypertension

diabetes

renal insufficiency

and advanced age are all risk factors for community-acquired pneumonia complicated with heart failure. Strengthening management can reduce the prevalence and prevent Community-acquired pneumonia with heart failure has guiding significance.