“…In a NC comparison of ESHF patients with an ejection fraction of 20% or less with likely candidates for LVAD support, the LVAD candidates showed more dramatic cognitive changes in domains representing processing speed and verbal and visual memory before implant. 25 In our previous report, patients who underwent NC evaluations during BTT support showed significant but limited improvement between 1, 3, and 6 months in NC domain performances, as seen in visual memory, executive functioning, visual spatial perception, and processing speed. 14 No significant declines occurred in any NC test in any domain during these intervals.…”