Severe Tricuspid Regurgitation (Grade 3–4 on Echo)

No / mild-moderate TR (0 pts)+0Severe TR (3+ or 4+) (+2.5 pts — approximated to 2)+2

CVP/PCWP Ratio > 0.63 (or RAP/PCWP > 0.54)

Normal ratio (≤ 0.63) (0 pts)+0Elevated ratio (> 0.63) (+2 pts)+2

Non-Elective LVAD Implantation (INTERMACS Profile 1–2)

Elective or advanced heart failure outpatient (profile 3–7) (0 pts)+0Cardiogenic shock or critical deterioration (profile 1–2) (+2 pts)+2

BMI > 25 kg/m²

BMI ≤ 25 kg/m² (0 pts)+0BMI > 25 kg/m² (+1 pt)+1

Prior Cardiac Surgery

First cardiac operation (0 pts)+0Prior cardiac surgery (+1 pt)+1

EUROMACS-RHF Score — Right Heart Failure after LVAD