Table 2: Clinical Outcomes and CMS Coverage in Congestive Heart Failure.
| Clinical Outcome | Mortality Reduction | Rehospitalisation Reduction | Safety | CMS Coverage |
|---|---|---|---|---|
| HFrEF | ExTraMATCH 2004: yes; HF ACTion and Cochrane 2017: no mortality benefit | Yes | Yes | Yes |
| HFpEF | Awaiting results from Ex-DHF trial | Awaiting results from Ex-DHF trial | Yes | No |
| ADHF | Lack of data | Lack of data | Yes, based on a study in Australia (n=278). Awaiting results from REHAB-HF trial | No |
| LVAD | Lack of data | Lack of data | Yes | Yes* |
| OHT | Lack of data | Yes | Yes | Yes |
*Many LVAD patients are eligible for CR under HFrEF indication or for medical criteria for disability with LVEF ≤30% with symptoms affecting daily life.[27]
ADHF = acute decompensated heart failure; CMS = Centre for Medicare & Medicaid Services; HFpEF = heart failure with preserved ejection fraction; HFrEF = heart failure with reduced ejection fraction; LVAD = ventricular assist decice; OHT = orthotopic heart transplant.