In this engaging discussion, Dr. Michelle Kittleson, a leading heart failure expert at Cedars-Sinai, and Dr. Jason Feinman, a cardiology fellow, delve into the complexities of advanced heart therapies. They explore the signs of end-stage heart failure, the importance of a multidisciplinary evaluation team, and the balancing act between LVADs and heart transplants. Dr. Kittleson shares insights on patient selection, ethical considerations, and future advancements in heart failure care, making it a must-listen for aspiring cardiologists.