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October 1, 2025Journal of Clinical MedicineOpen 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

This review analyzes CRT-D and CRT-P outcomes in heart failure management, highlighting device selection challenges.

Key Points

  • CRT significantly improves symptoms and reduces hospitalizations in heart failure patients, supporting its broad use.
  • Despite high adoption, mortality benefits of CRT-D over CRT-P remain unclear due to lack of direct comparisons.
  • Specific patient groups, like those with advanced age or non-ischemic cardiomyopathy, may not gain significant advantages from CRT-D.
  • Comprehensive evidence evaluation is crucial for informed device selection, accounting for risks versus benefits.

Cite This Study

Laina et al. (2025) studied this question.

synapsesocial.com/papers/68dd91dafe798ba2fc4994c0https://doi.org/10.3390/jcm14196933
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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 · 1 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