A 63 year old man with ischaemic cardiomyopathy (LVEF 25%) on optimal medical therapy remains NYHA class III with QRS duration 160 ms and left bundle ...

Question

A 63 year old man with ischaemic cardiomyopathy (LVEF 25%) on optimal medical therapy remains NYHA class III with QRS duration 160 ms and left bundle branch block morphology. Which advanced therapy is indicated to improve symptoms and reduce mortality?

Accepted Answer

Cardiac resynchronisation therapy with or without defibrillator

Answer

Implantable cardioverter defibrillator alone

Answer

Heart transplantation is the only option

Answer

Long term inotropic infusion therapy at home

Answer

No further therapies are available

au-racp MCQ (SBA): Complex heart failure device therapy indications

A 63 year old man with ischaemic cardiomyopathy (LVEF 25%) on optimal medical therapy remains NYHA class III with QRS duration 160 ms and left bundle branch block morphology. Which advanced therapy is indicated to improve symptoms and reduce mortality?