

Advanced Heart Failure Specialists
Why and When to Partner?
Collaboration and referral to specialists for patients with advanced heart failure offer numerous benefits, including improved survival, reduced hospitalizations, and enhanced quality of life.
Why Choose Us For Your Heart Care?
Types of Patients
Patients who would benefit from an advanced heart failure specialist:
- 2 or more emergency department visits or hospitalizations for worsening HF in the prior 12 months
- Persistent NYHA functional III-IV symptoms of congestion or profound fatigue
- Onset of atrial fibrillation, ventricular arrhythmias, or repetitive ICD shocks
- Systolic blood pressure <90mm HG or symptomatic hypotension
- Inability to tolerate optimally dosed beta-blockers and/or ARNI/ACE inhibitors/ARBs and/or mineralocorticoid antagonists
- Clinical deterioration, as indicated by worsening edema, worsening symptoms, rising biomarkers, worsened exercise testing, decompensated hemodynamic status, or evidence of progressive remodeling on imaging
- Persistently reduced LVEF <= 35% despite GDMT for >=3 months
Meet the Team
David Joseph Silber, DO
Heart Failure and Transplantation Cardiology
Kanika P Mody, MD
Cardiology, Heart Failure and Transplantation Cardiology
Kumar Satya, MD
Heart Failure and Transplantation Cardiology
Jesus Leandro G Almendral, MD
Cardiology, Heart Failure and Transplantation Cardiology
Cynthia A Kos, DO
Cardiology, Heart Failure and Transplantation Cardiology
Bernard Haksoo Kim, MD
Heart Failure and Transplantation Cardiology
Elliot Levine, MD
Cardiology
Raul Jesus Flores, MD
Internal Medicine








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