The problem of chronic heart failure (CHF) in modern society remains of medical and social relevance due to its significant prevalence, high level of disability and mortality. The research results indicate insufficient secondary prevention of CHF both at the population level and among people with a high risk of its development. Among the reasons for this situation, a special place is given to the insufficient adherence of patients to drug and non‑drug therapy. Adherence to medical prescriptions is the most important component of treatment programs in the older age group and in recent years has been regarded as an independent risk factor for the progression of CHF. Patients often assess a doctor's competence by his level of communication and responsiveness to a medical problem, rather than by his clinical skills. Insufficiently correct behavior of the doctor may contribute to the patient's non‑commitment to treatment, and the lack of clear information when prescribing therapy may reduce adherence in the most motivated patients. 53 elderly and senile patients with chronic heart failure II FC (NYHA) were examined, of which 17 patients were diagnosed with moderate cognitive deficits, 16 patients with vascular dementia and 17 with anxiety and depressive disorders. According to the study, the lowest rates of treatment adherence and quality of life according to the SF-36 questionnaire and According to the Minnesota questionnaire, they were noted in patients with anxiety and depressive disorders.

cognitive impairment, anxiety and depressive disorders, elderly and senile age, chronic heart failure, SF-36 questionnaire, Minnesota Quality of Life Questionnaire

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