A 72-year-old with severe HFrEF (LVEF 20%) on full GDMT has progressive symptoms and high pulmonary pressures; QRS 160 ms LBBB. He received CRT-D but ...

Question

A 72-year-old with severe HFrEF (LVEF 20%) on full GDMT has progressive symptoms and high pulmonary pressures; QRS 160 ms LBBB. He received CRT-D but remains hospitalized with low output. What temporary support is appropriate while assessing for advanced therapies?

Accepted Answer

Intra-aortic balloon pump or temporary mechanical circulatory support

Answer

Chronic verapamil

Answer

High-dose beta-blocker initiation

Answer

No intervention

Answer

Immediate transplant listing without evaluation

"cardiogenic shock bridge" MCQ (SBA): Heart Failure with Reduced Ejection Fraction

A 72-year-old with severe HFrEF (LVEF 20%) on full GDMT has progressive symptoms and high pulmonary pressures; QRS 160 ms LBBB. He received CRT-D but remains hospitalized with low output. What temporary support is appropriate while assessing for advanced therapies?