Older adults present unique cardiovascular challenges due to frailty, polypharmacy, cognitive decline, and multimorbidity. At WCC 2026, this session will focus on age-appropriate diagnostics, shared decision-making, and palliative approaches to advanced cardiac illness. It will also explore under-representation of older adults in clinical trials and ways to integrate geriatric principles into cardiology training. Topics like fall risk with antihypertensives and optimizing care for elderly patients undergoing interventions will be key highlights.