Durable implantable left ventricular assist devices (LVADs) have been shown to improve survival and quality of life for patients with stage D heart failure. Even though LVADs remain underused overall, the number of patients with heart failure supported with LVADs is steadily increasing. Therefore, general cardiologists will increasingly encounter these patients. This review provides an overview of the field of durable LVADs and discusses which patients should be referred for consideration of advanced heart failure therapies.
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