LT-MCS implantation should be considered in patients with the following: New York Heart Association functional class IIIB–IV and Ejection fraction ≤25% and At least one of the following criteria:     ○ INTERMACS 2–4     ○ Inotrope dependence     ○ Progressive end-organ dysfunction     ○ Peak VO2 <12 ml/kg/min     ○ Temporary MCS dependence IIa B