Recommendations   Class   Level   References
Pathological evaluation of myocardial tissue obtained during apical coring to identify treatable aetiologies of heart failure is recommended.  I  C  [410, 411]
In patients with LT-MCS with non-ischaemic cardiomyopathy, optimized medical heart failure therapy to promote myocardial recovery is recommended.  I  C  [405]
Adding a selective beta-2 adrenergic agonist to conventional HF therapy is not recommended.  III  B
Routine screening of patients with LT-MCS with non-ischaemic cardiomyopathy for myocardial recovery by echocardiography, including the ramp test, is recommended.  I  B  [397, 412]
Before explantation, invasive haemodynamic examination of patients with LT-MCS is recommended.  I  B  [398]
Cardiopulmonary exercise testing may be considered prior to the decision about LT-MCS explantation.  IIb  C  [413]
Screening for recurrence of heart failure after LT-MCS explantation is recommended.  I  C  [414, 415]