Our unit patient population consists of advanced heart failure and stroke diagnoses including, advanced Heart Failure (HF), MI, Pre/Post Cardiac Catheterization and/or intervention, Pre/Post Pacer/ICD placement, Stroke patients post TNK after an ICU stay, those not eligible for TNK, ruling out for Stroke/TIA, and medical issues including COPD, Pneumonia, ACS, chest Pain and patients requiring inotropic or vasodilator support to enhance diuresis. HVC Cardiac Surgery Intermediate Care and Step Down Unit (5-3 SP): SP 5-3 is a fast-paced, dynamic 25-bed cardiac surgery unit, inclusive of 3 step down beds that cares for a diverse range of cardiac populations.