A 58-year-old with LVEF 25% and sinus rhythm has resting HR 84 bpm on carvedilol 25 mg BID, sacubitril/valsartan, spironolactone, and dapagliflozin. R...

Question

A 58-year-old with LVEF 25% and sinus rhythm has resting HR 84 bpm on carvedilol 25 mg BID, sacubitril/valsartan, spironolactone, and dapagliflozin. Recurrent hospitalizations. Which device therapy is appropriate after GDMT optimization if QRS 160 ms LBBB?

Accepted Answer

CRT-D (cardiac resynchronization with defibrillator)

Answer

ICD alone

Answer

CRT-P without defibrillator

Answer

No device therapy

Answer

Ablation for AF

us-abim MCQ (SBA): HFrEF Device Therapy

A 58-year-old with LVEF 25% and sinus rhythm has resting HR 84 bpm on carvedilol 25 mg BID, sacubitril/valsartan, spironolactone, and dapagliflozin. Recurrent hospitalizations. Which device therapy is appropriate after GDMT optimization if QRS 160 ms LBBB?