Real-World Evaluation of a Nationally Mandated Risk Stratification Tool for Destination Therapy LVAD in Japan.
BACKGROUND Patient selection for destination therapy (DT) with durable left ventricular assist devices (LVADs) remains a major challenge in Asian advanced heart failure practice. In Japan, the J-MACS score is mandatorily calculated before DT implantation and directly influences eligibility decisions; however, its real-...