Question

A 68-year-old with HFrEF (EF 25%) remains NYHA II after >3 months of optimized GDMT. QRS 100 ms. What device strategy is appropriate for primary prevention of sudden death?

Accepted Answer

ICD candidacy for primary prevention if life expectancy >1 year

Answer

CRT-D now

Answer

No device therapy for any EF <35%

Answer

Pacemaker for all EF <30%

Answer

Wearable defibrillator indefinitely

Practice question

A 68-year-old with HFrEF (EF 25%) remains NYHA II after >3 months of optimized GDMT. QRS 100 ms. What device strategy is appropriate for primary prevention of sudden death?