Question

A 62-year-old with HFrEF (EF 30%) on GDMT for 6 months remains NYHA II. QRS narrow, sinus rhythm. When is primary prevention ICD indicated?

Accepted Answer

EF ≤35% after ≥3 months GDMT and expected survival >1 year

Answer

EF ≤40% with symptoms

Answer

Any EF reduction with syncope

Answer

EF ≤30% only with angina

Answer

Never for nonischemic cardiomyopathy

Practice question

A 62-year-old with HFrEF (EF 30%) on GDMT for 6 months remains NYHA II. QRS narrow, sinus rhythm. When is primary prevention ICD indicated?