Managing cardiovascular complications in patients undergoing cancer treatment presents significant clinical challenges, particularly in those with pre-existing cardiovascular risk factors and multiple long-term conditions. This session will explore the complexities of cardio-oncology care through a real-world case study, demonstrating how early recognition of cancer therapy-related cardiovascular dysfunction, rapid optimisation of guideline-directed heart failure therapy, and multidisciplinary collaboration can support cardiovascular recovery and facilitate the safe resumption of cancer treatment. The session will also examine the importance of monitoring cardiac biomarkers, recognising changes in symptoms and vital signs, and managing treatment-related hypertension. Attendees will gain practical insights into timely cardiovascular assessment, clinical decision-making and integrated care approaches that balance cardiovascular health with optimal cancer treatment outcomes.