Recently, Arenja et al. [ [1] Arenja N. Mueller C. Tomilovskaya E. et al. Real-world experience of feasibility and efficacy of electrical muscle stimulation in elderly patients with acute heart failure: a randomized controlled study[J]. Int. J. Cardiol. 2021; 344: 113-119 Abstract Full Text Full Text PDF PubMed Scopus (3) Google Scholar ]. research shows that electrical muscle stimulation (EMS) improves 6-min walk test distance (6-MWTD) results in elderly acute heart failure (AHF) patients, indicating that EMS may played a critical role in improve the quality of life of elderly AHF patients. After reading this article, we have some suggestions.