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HardCardiologyHeart failure device therapyus-abimus-usmle-step-3

A 70-year-old man with HFrEF (EF 25%), NYHA III on ARNI, beta-blocker, MRA, and SGLT2 inhibitor remains symptomatic. BP is 110/70 mm Hg, HR 78/min, QRS 160 ms with LBBB. Which device therapy is indicated?

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