The invention belongs to the field of medicine, and particularly relates to cardiac failure resisting medicine LCZ696 oral sustained-release pellets and a preparation method thereof. The sustained-release pellets comprise pellet cores prepared from, by weight, 2-55 parts of LCZ696 medicine, 15-90 parts of diluent and 1-15 parts of adhesive and a coating prepared from, by weight, 1-35 parts of sustained-release materials, 0.1-5 parts of pore-foaming agent, 0.1-5 parts of plasticizer and 0.1-25 parts of antisticking agent on the outer portions of the pellet cores. The cardiac failure resisting medicine LCZ696 oral sustained-release pellets have the advantages that LCZ696 can be slowly released in the body by means of the sustained-release pellets, the plasma concentration is more stable, and clinical effectiveness and safety are effectively improved. The cardiac failure resisting medicine LCZ696 oral sustained-release pellets are suitable for symptoms caused by the cardiac failure, medicine release is stable, the effect is good, irritation to the gastrointestinal tract is small, and absorption is good after oral medication. The preparation method of the sustained-release pellets is easy to operate, the production cost is low, efficiency is high, and the sustained-release pellets are suitable for large-scale production.