Table 23.14
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Class I recommendations for devices in patients with left ventricular systolic dysfunction
ICD

Prior resuscitated cardiac arrest

 

Ischaemic aetiology and >40 days of myocardial infarction

 

Non-ischaemic aetiology

Class I, Level A

 

Class I, Level A

 

Class I, Level B

ICD

Prior resuscitated cardiac arrest

 

Ischaemic aetiology and >40 days of myocardial infarction

 

Non-ischaemic aetiology

Class I, Level A

 

Class I, Level A

 

Class I, Level B

CRT

NYHA class III/IV and QRS >120ms

 

To improve symptoms/reduce hospitalization

 

To reduce mortality

Class I, Level A

 

Class I, Level A

 

Class I, Level A

CRT

NYHA class III/IV and QRS >120ms

 

To improve symptoms/reduce hospitalization

 

To reduce mortality

Class I, Level A

 

Class I, Level A

 

Class I, Level A

ICD, implantable cardioverter defibrillator; CRT, cardiac resynchronization therapy.

Adapted with permission from Dickstein K, Cohen-Solal A, Filippatos G, et al. ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: the Task Force for the diagnosis and treatment of acute and chronic heart failure 2008 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association of the ESC (HFA) and endorsed by the European Society of Intensive Care Medicine (ESICM). Eur Heart J 2008; 29: 2388–442. © ESC 2008.

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