NYHA | QRS duration <120 ms | QRS duration 120–150 ms | QRS duration >150 ms |
---|---|---|---|
Patients without LBBB morphology | |||
I* | Medical therapy | ICD | Medical therapy |
I | Medical therapy | ICD | Medical therapy |
III | Medical therapy | Medical therapy | CRT-P |
IV | Medical therapy | Medical therapy | CRT-P |
Patients with LBBB morphology | |||
I* | Medical therapy | CRT-D | |
II | Medical therapy | CRT-D | |
III | CRT-P | CRT-P | |
IV | CRT-P | CRT-P |
*Results in NYHA I and IV patients are based on relatively low patient numbers and may be subject to bias due to the nature of trial inclusion criteria for NYHA I patients. For further detail see main text.
CRT, cardiac resynchronisation therapy; CRT-D, combined CRT and ICD device; CRT-P, stand-alone CRT device; ICD, implantable cardioverter defibrillator; LBBB, left bundle branch block; NYHA, New York Heart Association; QALY, quality-adjusted life-year.