Advanced Heart Failure

Referral Criteria for Transplant or Mechanical Circulatory Support

Patients with any criteria below should be considered:

  • Systolic heart failure with refractory symptoms (Class 3b/4) despite optimal medical and device therapy (OMT)
  • Intolerance to HF medications or having to withdraw medications
  • One or more heart failure hospitalizations in six months
  • If on OMT and patient has one or more of the following:
     
    • Hyponatremia < 132 mmol/l
    • Hypotension SBP < 90 mmHg
    • Azotemia BUN > 40 (excluding dehydration) or worsening renal function (thought to be secondary to HF)
  • Recurrent ICD shock or refractory VT
  • Escalating diuretic requirement
  • Age 18-75 years old with no obvious life-limiting co-morbidities

To make a referral, call our Heart Failure Clinic during office hours.

Monday - Friday: 8:00am to 5:00pm