Question

A 60‑year‑old with ischemic cardiomyopathy (EF 30%) on optimized GDMT for 4 months remains NYHA II. No recent MI. What device therapy is indicated for primary prevention of sudden death?

Accepted Answer

Implantable cardioverter‑defibrillator (ICD)

Answer

No device therapy indicated

Answer

Cardiac resynchronization therapy (CRT) only

Answer

Wearable defibrillator indefinitely

Answer

Pacemaker only

Practice question

A 60‑year‑old with ischemic cardiomyopathy (EF 30%) on optimized GDMT for 4 months remains NYHA II. No recent MI. What device therapy is indicated for primary prevention of sudden death?