With Antonio Cannata, King’s College London, London - UK, Mateusz Sokolski, Wrocław Medical University, Wrocław - Poland, Otilia Țica, Emergency County Hospital of Oradea, Oradea - Romania, Finn Gustafsson, University of Copenhagen - Danemark, John Cleland, Imperial College of London - UK,  Theresa McDonagh, King’s College London - UK, Gianluigi Savarese, Karolinska Institute - Sweden, Carolyn Sp Lam, National Heart Centre Singapore - Singapore & Marco Metra, University and Civil Hospital of Brescia, Brescia - Italy This podcast will discuss the insights and highlights shared by key-leaders in heart failure during the annual meeting: Heart Failure Congress, held in Madrid, Spain. Prof. Gustafson offers an overview on advanced heart failure therapies and the role of MCS (mechanical circulatory support). Prof Cleland debates when should we attempt revascularisation in  heart failure patients. Prof McDonagh shares the updates and changes in the implementation of the HF guidelines in the last year, since their release. Prof Savarese highlights the best scientific statement of this year, the universal definition of Heart Failure. Prof Lam provides key message and trials in HF and also underlines the sex-differences in these patients. Prof Metra discusses the pillars and future perspectives of HF and the importance of education.