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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 assesses device selection dilemma in heart failure patients, highlighting outcomes and risks of CRT-D and CRT-P.

Key Points

  • CRT-D shows uncertain mortality benefit compared to CRT-P in managing heart failure, and patient selection remains critical.
  • Seventy to eighty percent of CRT implantations utilize CRT-D despite lack of head-to-head trial evidence for superiority.
  • Assessment of existing evidence and clinical outcomes is vital for distinguishing between CRT-D and CRT-P.
  • Specific patient groups may receive limited benefits from CRT-D, necessitating careful risk-benefit analysis.

Cite This Study

Laina et al. (2025) studied this question.

synapsesocial.com/papers/68af7df87567bf4f94ff523fhttps://doi.org/10.20944/preprints202508.1754.v1
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1CRT-D or CRT-P: When There Is a Dilemma and How to Solve It2025 · 2 citations
  2. 2Comparative Effectiveness of CRT-P vs CRT-D in Octogenarians With HFrEF and LBBB: A Real-World, Propensity-Matched Cohort Study2025
  3. 3Survival of patients undergoing cardiac resynchronization therapy with or without defibrillator: the RESET-CRT project2022 · 52 citations
  4. 4Patient-Specific Modifiers of Survival Benefit in Cardiac Resynchronization Therapy - A Multicentre Interaction Analysis2025 · 1 citations
  5. 5Complications in CRT-P and CRT-D implantations: Analysis of quality assurance data from the state of North Rhine-Westphalia 2010-20202026