A 66-year-old woman with HFrEF and recurrent hospitalizations is optimized on GDMT. She asks about ICD for primary prevention. EF is 30% after MI 8 mo...

Question

A 66-year-old woman with HFrEF and recurrent hospitalizations is optimized on GDMT. She asks about ICD for primary prevention. EF is 30% after MI 8 months ago; NYHA II. Plan?

Accepted Answer

Offer ICD for primary prevention

Answer

ICD not indicated in EF 30%

Answer

CRT without ICD

Answer

Ablation

Answer

Wearable defibrillator indefinitely

us-abim MCQ (SBA): ICD Indications

A 66-year-old woman with HFrEF and recurrent hospitalizations is optimized on GDMT. She asks about ICD for primary prevention. EF is 30% after MI 8 months ago; NYHA II. Plan?