Question

A 66-year-old man with HFrEF (LVEF 28%) remains symptomatic (NYHA III) despite optimal quadruple therapy. His QRS duration is 160 ms with left bundle branch block. According to CCS heart failure guidelines, which device therapy should be considered?

Accepted Answer

Cardiac resynchronisation therapy (CRT) with or without ICD

Answer

Implantable cardioverter-defibrillator (ICD) alone

Answer

No device therapy is indicated

Answer

Permanent pacemaker only

Answer

Left atrial appendage occlusion

Practice question

A 66-year-old man with HFrEF (LVEF 28%) remains symptomatic (NYHA III) despite optimal quadruple therapy. His QRS duration is 160 ms with left bundle branch block. According to CCS heart failure guidelines, which device therapy should be considered?