In the last year we have seen the publication of multiple guidance documents on the management of heart failure, each setting new standards for the management of HFpEF, including two national guidelines and a consensus statement on the phenotyping of HFpEF. Why do we need so many guidance documents? What was the rationale behind their development? And how concordant are they? In the final episode of Heart Failure in Focus for 2023, Dr Muthiah Vaduganathan is joined by Prof Giuseppe Rosano (St George’s Hospital London, UK), who played a central part in the development of the 2023 European heart failure guideline focussed update and an earlier publication on HFpEF phenotyping. He shares his thoughts on these aforementioned questions and together with our host, provide a practical interpretation of how to incorporate the three distinct documents into daily practice. Questions can be sent via Twitter to our host @mvaduganathan or to @radcliffeCARDIO. This podcast is supported by an unrestricted educational grant from AstraZeneca.