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This becomes especially relevant during selection for left ventricular assist device (LVAD) therapy, since sufficient cardiac result, differently from heart transplantation, nevertheless hinges on native RV function. Significantly, amassing evidence suggests that RV failure (RVF) carries harmful effects of progressive end-organ disorder because of systemic venous congestion-mediated irritation and oxidative tension. Consequently, it is crucial to detect RVF early on into the illness