Inclusion Criteria:  Age > 18 years Presence of advanced cardiomyopathy (of all INTERMACS classification) and eligible for LVAD implant per the decision of the Heart Failure clinical team Implanted cardioverter defibrillator (ICD) any time in past with remote monitoring History of sustained VTA at any time prior to LVAD implant  Exclusion Criteria:  Active VTA "storm" (≥ 3 episodes of VTA over 24-hour period) Recent successful VTA ablation without recurrent VTA within 1 year prior to LVAD implant (continue to experience VTA post ablation and pre LVAD implant qualify) Pregnancy, plan to become pregnant < 18 calendar months after consent date or breast feeding Participation in other clinical trials (observational registries are allowed with approval) Unable or unwilling to provide informed consent Unwilling or unable to cooperate with the protocol Life expectancy <1 year after consent date for any medical condition Did not undergo LVAD implant prior to randomization