Advanced heart failure is a progressive, life-limiting illness associated with high levels of symptom burden, health care utilization, financial and existential distress for patients and caregivers. Early palliative care involvement has demonstrated benefits in all of these domains across a range of disease states and is associated with improved survival for patients with advanced cancer. However, overall rates of palliative care involvement remain low in the heart failure population. Seamless integration of palliative care concepts into heart failure care have been elusive, and highly productive collaborations between pallative care and cardiology services that avoid fragmentation of care have been the exception. This session will focus on novel ways of integrating palliative care throughout the trajectory of heart failure.

• Identify opportunities for palliative care involvement throughout the continuum of heart failure.
• Describe the role of palliative care in discussions around quality of life and symptom burden with heart failure patient when considering advanced therapies.
• Describe innovative partnerships between palliative care and heart failure cardiology.
• Discuss the socioeconomic factors that influence the end of life outcomes and caregiver burden and address the social determinants of health in the context of end-stage heart failure.