A 70-year-old man with a history of ischaemic heart disease and heart failure (LVEF 35%) is noted to have asymptomatic non-sustained ventricular tachy...

Question

A 70-year-old man with a history of ischaemic heart disease and heart failure (LVEF 35%) is noted to have asymptomatic non-sustained ventricular tachycardia (NSVT) on a 24-hour Holter monitor. His current medications include Ramipril, Bisoprolol, Spironolactone, and Furosemide. He is otherwise stable. According to NICE CG130 (Heart Failure), what is the most appropriate next step?

Accepted Answer

Optimize existing heart failure therapy

Answer

Implantable Cardioverter Defibrillator (ICD) implantation

Answer

Amiodarone therapy

Answer

Catheter ablation

Answer

No intervention required

mrcp part 1 MCQ (SBA): Heart Failure / Ventricular Tachycardia