Treatment options with ICD or CRT for people with heart failure who have left ventricular dysfunction with an LVEF of 35% or less (according to NYHA Class, QRS duration and the presence of LBBB)
NYHA Class | ||||
---|---|---|---|---|
QRS interval | I | II | III | IV |
<120 ms | ICD if there is a high risk of sudden cardiac death | ICD and CRT not clinically indicated | ||
120–149 ms without LBBB | ICD | ICD | ICD | CRT-P |
120–149 ms with LBBB | ICD | CRT-D | CRT-P or CRT-D | CRT-P |
≥150 ms with or without LBBB | CRT-D | CRT-D | CRT-P or CRT-D | CRT-P |
Adapted from TA314. CRT, cardiac resynchronisation technology; LBBB, left bundle branch block; LVEF, left ventricular ejection fraction; NYHA, New York Heart Association.