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Indications for ICD–CRT in mildly symptomatic heart failure

Clinical trial data, including those from MADIT-CRT, support the use of cardiac resynchronization therapy in patients with asymptomatic and mildly symptomatic heart failure and ventricular dyssynchrony. However, important questions remain about which of these patients benefit most from this therapy.

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Figure 1: Kaplan–Meier plot of heart failure event-free survival probability in ICD-only and CRT–ICD patients with oligosymptomatic heart failure.

References

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Correspondence to William T. Abraham.

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W. T. Abraham has acted as a consultant for and received research support from Biotronik, Medtronic and St. Jude Medical. J. Holzmeister has received consultancy fees from Biotronik and St Jude Medical and research support from Biotronik, Boston Scientific, and St Jude Medical.

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Holzmeister, J., Abraham, W. Indications for ICD–CRT in mildly symptomatic heart failure. Nat Rev Cardiol 7, 7–8 (2010). https://doi.org/10.1038/nrcardio.2009.196

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