For Referring Physicians
(732) 253-3699
The Advanced Heart Failure and Transplant Cardiology Program at Robert Wood Johnson University Hospital (RWJUH) offers the full spectrum of care for the end stage heart failure patients, including left ventricular assist devices (LVAD), access to clinical trials and Medicare-certified heart transplant services. RWJUH's dedicated multidisciplinary team is available 24/7 to provide the most comprehensive care for your patients.
When to Refer a Patient for an Advanced Heart Failure Evaluation
Any of the following should trigger a referral to an advanced heart failure specialist:|
I |
IV inotropes |
|
N |
NYHA IIIB/IV or persistently elevated natriuretic peptides |
|
E |
End-organ dysfunction (Cr > 1.8mg/dL or BUN > 43 mg/dL) |
|
E |
Ejection fraction < 35% |
|
D |
Defibrillator shocks |
|
H |
Hospitalizations > 1 |
|
E |
Edema (or elevated PA pressure) despite escalating diuretics |
|
L |
Low blood pressure, high heart rate |
|
P |
Prognostic medication – progressive intolerance or down-titration GDMT |
