Treatment of end stage heart failure cases is very challenging; there is very limited evidence-based medicine, many owners have different expectations and quality of life of the owners and dogs becomes paramount. In this talk we are going to discuss all the options available, discuss the evidence for their use and discuss the new drugs that we are using in clinic. Many of these dogs can live for another 12-18 months of good quality of life and can be very rewarding to treat. This is a really practical talk with lots of case examples.

Key Learning Objectives:

• Understanding what is meant by the term stage D MVD and the diagnostic tests.
• Understand the diagnostic tests that are necessary to manage these cases and the best approach.
• Understand the QOL factors that must be considered in these cases.
• The possible treatment options available including the latest drugs being used from human medicine.