A virtual second opinion before a heart transplant or LVAD decision.

A cardiac surgeon and cardiologist review the records relevant to the advanced-heart-failure decision, which may include echocardiography, right-heart catheterization, coronary or structural imaging, laboratory trends, functional and frailty assessments, prior procedures, clinical notes, and the transplant or LVAD program evaluation. The WHITEGLOVE Insights™ report organizes the current plan, candidacy factors, timing, reasonable pathways, workup gaps, center context, and questions for the treating team.

Yes, when both pathways are relevant to the documented clinical situation. The report can compare transplant, bridge-to-transplant LVAD, destination-therapy LVAD, and continued advanced medical management. It explains the patient-specific factors that may support or complicate each path without assuming that every option fits every patient.

A bridge-to-transplant LVAD provides durable mechanical support while a patient remains a transplant candidate and waits for a donor organ. Destination therapy uses an LVAD as long-term treatment when transplant is not planned or available. Other strategies, including bridge to candidacy or recovery, may be relevant in selected cases. The device may be similar, but the goals, candidacy questions, and anticipated care pathway differ.

The review can organize the reason documented by the transplant program and examine whether the relevant records support that concern, whether information appears incomplete, and whether a potentially modifiable factor deserves further discussion. It cannot reverse a program decision or guarantee candidacy, but it can make the rationale and reasonable next questions clearer.

The most useful record is the complete advanced-heart-failure evaluation. It commonly includes right-heart catheterization data, echocardiography, coronary or structural imaging, kidney and liver trends, laboratory data, functional and frailty assessments, prior operative records, specialty evaluations, and the program’s written candidacy or treatment rationale. The records team can help identify and gather missing material with your authorization.

Yes. The Heart Team considers the documented disease trajectory, symptoms, hospitalizations, medication tolerance, hemodynamics, organ function, temporary support, and other case-specific factors. The report can clarify whether the record supports discussing transplant, LVAD, additional evaluation, or further optimization now. It does not direct treatment or replace urgent clinical judgment.

When another program deserves consideration, the team can help identify an appropriate center, organize the record, and facilitate an introduction or transfer inquiry through its professional network. Acceptance, timing, evaluation, and treatment decisions remain entirely with the receiving institution; no formal partnership or guaranteed appointment is implied.

A cardiac surgeon and cardiologist independently review the same complete record, then confer and co-sign one patient-facing WHITEGLOVE Insights™ report. Their two perspectives are included at every service level.

The four one-time package prices are $495 for Insights™, $995 for Consult, $1,495 for Heart Team, and $2,495 for Concierge. Every package includes two independent physician reviews and one co-signed written report. Higher levels add live physician access and support. WHITEGLOVEMD is a direct-pay service and does not submit insurance claims.

The 24-hour turnaround begins only after the records and imaging required for the review have been received and confirmed complete. Time spent requesting or collecting records is outside that window. The records team can help identify and gather what is needed with your authorization.

No referral or travel is required for the independent medical-record review. You may choose the written review alone or a higher service level that includes a live physician consultation.

WHITEGLOVEMD does not provide emergency care and should never delay urgent or time-sensitive treatment. Continue following the instructions of the clinicians caring for you. If you may be experiencing a medical emergency, call 911 immediately. A records-based second opinion can be considered only when it is clinically appropriate and the necessary information is available.