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August 25, 2025Open Access

CRT-D or CRT-P: When There Is a Dilemma and How to Solve It

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Authors

ALAgeliki LainaCAC. AntoniouDTDimitris Tsiachris

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Overview

Review highlights unclear mortality benefits of CRT-D over CRT-P in heart failure, suggesting careful device selection.

Key Points

  • CRT-D and CRT-P both improve symptoms in heart failure, yet the mortality benefit of CRT-D remains uncertain.
  • Despite 70–80% of CRT implantations being CRT-D, solid evidence for its superiority over CRT-P is lacking.
  • Patients with non-ischemic cardiomyopathy or advanced age may see limited benefits from CRT-D compared to CRT-P.
  • This review discusses patient selection criteria, clinical outcomes, and risk-benefit considerations for CRT devices.

Cite This Study

Laina et al. (2025) studied this question.

synapsesocial.com/papers/68af63d7ad7bf08b1eae3bdfhttps://doi.org/10.20944/preprints202508.1754.v1
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