Follow these advanced heart failure signs that indicate your patient may benefit from VAD/heart transplant evaluation
- LVEF <40%
- Inability to walk one block without shortness of breath
- Intolerance of beta blockers
- Intolerance of ACEi/ARBs
- Inotrope dependence
- Progressive renal insufficiency
- Cardiac index <2.2 l/min
- BNP or NT-proBNP > 5x normal (BNP > 1000)
- One heart-failure-related hospitalization within the past six months
- High diuretic requirements (>1.5 mg/kg furosemide or equivalent)
- Class IIIB/IV heart failure symptoms despite medical therapy
- CRT (resynchronization therapy) nonresponder
Important: For all referrals, include the following information if available:
- H&P
- Echocardiography report
- Pulmonary functions tests
- Face sheet with demographics
- Recent office visit note
- Heart catheterization report
- Lab work (CMP, CBC, LFTs)
Make a referral
For referrals, use our patient referral form.