Affecting more than 5.1 million Americans in 2013, heart failure (HF) is a debilitating syndrome that causes dyspnea, reduced exercise tolerance, fatigue, and diminished quality of life. Most commonly diagnosed in individuals over 65 years of age, the prevalence of HF and its associated health care costs are expected to grow significantly. Aerobic exercise, resistance training, and inspiratory muscle training (IMT) are interventions that are currently used in the treatment of older adults with HF. A literature search was conducted for meta-analyses, systematic reviews, and large randomized control trials to evaluate the effect of aerobic exercise, resistance training, and IMT interventions on exercise tolerance and quality of life in individuals with HF. Overall, aerobic exercise, resistance training, and IMT appear to be safe and effective in appropriately selected individuals for improving exercise tolerance and quality of life in individuals with HF. The benefits of resistance training in isolation are not clear.