17
PICM with high-burden RVP
COR LOE Recommendations
1 B-NR 1. In patients with a CIED with a decline in LV function
or worsening of HF symptoms attributed to substantial
ventricular pacing, CRT with BiV pacing is recommended to
improve LV function and improve HF symptoms.
2a B-NR 2. In patients with a CIED with a decline in LV function
or worsening of HF symptoms attributed to substantial
ventricular pacing, revision of CIED to a CSP device can be
beneficial to improve LV function and symptoms of HF.
Survival <1 year
COR LOE Recommendation
1 C-EO 1. In patients with a life expectancy of <1 year, the decision to
implant CPP should incorporate shared decision-making,
taking into account the potential improvement in quality of
life balanced against the risk of procedural complications.
