Recommendations for late right heart failure Recommendations Class Level References Diagnosis Routine follow-up echocardiography for assessment of right heart function is recommended. I C Invasive haemodynamic measurements should be considered. IIa C [470] Treatment Initial treatment for right heart failure with diuretics is recommended. I C Medical lowering of pulmonary resistance may be considered. IIb C [471] High-urgent listing for a heart transplant is recommended if the patient is a transplant candidate. I C Secondary right ventricular assist device implantation may be considered. IIb C