Introduction: Heart Failure (HF) is a chronic complex clinical condition that results from any structural or functional (systolic or diastolic) impairment of ventricular filling or ejection of blood. It has currently increased in prevalence with 64.34 million cases, accounting for 9.91 million years of healthy life lost due to disability (YLDs). Aim: This research was conducted to study the clinico-epidemiological profile of heart failure in geriatric patients. Materials & Methodology: The present hospital based study was conducted for a period of 18 months, among all patients above 60yrs of age presented to OPD or admitted in medicine department, NIMS, as a case of Heart failure. Follow up was done till the study end points. Results: Total of 100 patients were included in the study, who fulfilled the inclusion criteria. The median age of patients was found to be71.77±0.72 years, among which 58.6% are male. There was significant association of Heart failure with ejection fraction & Systolic HTN. Conclusion: We concluded that age, BMI, Heart Rate, economic status and serum creatinine are significant factor in predicting the incidence of heart failure in the geriatric patients.