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慢性心力衰竭患者抑郁的发生率较高，同时抑郁也是慢性心力衰竭患者主要心血管事件及病死率的独立危险因素。心力衰竭合并抑郁患者生活质量低，生活自理能力差，增加社会经济负担。尽管抑郁的发病率高、增加住院率、病死率，但人们对其重视仍不够，抑郁的诊断率、治疗率仍很低。运动锻炼疗法、心理治疗（如认知行为疗法）和药物治疗（如选择性5-羟色胺再摄取抑制剂SSIRs）对抑郁合并心力衰竭是安全、有效的。“,”The incidence of depression in patients with chronic heart failure is higher, depression in patients with chronic heart failure of major cardiovascular events and mortality independent risk factor.The quality of life of patients with heart failure combined with depression is low, the life is poor, and the social economic burden is increased.Despite the high incidence of depression and increased in hospitalization rate and mortality, but people pay less attention on the diagnosis and treatment of depression.Symptoms and various scales like BDI self-rating scale, Hamilton scale, MADRS depression scale, PHQ 9 scale, etc., can be used as a screening tool for depression.Exercise therapy, psychotherapy ( such as cognitive behav-ioral therapy) and drug therapy ( such as selective serotonin re uptake inhibitor SSIRs) in the treatment of depression with heart failure is safe and effective.Early detection and treatment of depression may improve the prognosis of patients with heart failure, delay the progress of heart failure, and improve the quality of life of patients.