This study aims to optimize cardiac functional capacity using a combination of physical exercise programs to reduce the death rate of patients with heart failure. The study was conducted at the outpatient clinic of the Integrated Heart Service, Sanglah General Hospital, for 12 weeks. Research subjects were 50 people divided into five groups. Group 1 was given the treatment of tai chi exercise, group 2 was treated with treadmill training, group 3 was given a treatment of stationary bike workout, group 4 was given a combination treatment of tai chi, treadmill training, and stationary bike workout, and group 5 was the control group. All treatments had a significant impact on cardiac functional capacity of patients with heart failure with a p value less than 0.05 (p <0.05). However, there was one treatment that had the most significant impact compared to the other treatments, which was the combined treatment of tai chi, treadmill training, and stationary bike workout, with a value of p = 0,000. Based on the results of data analysis, it can be concluded that all aerobic physical exercise treatments impacted cardiac functional capacity and the impact of combination treatment of tai chi, treadmill training, and stationary bike workout was significantly more optimal in patients with heart failure than treatments without combination of physical exercise.