20
Pre-procedure Evaluation and Preparation
Figure 5. Pre-procedure Evaluation and Preparation
Patients with bradycardia
or HF being considered for
implantation with a CPP device
12-lead ECG to evaluate the heart
rhythm/rate, atrioventricular (AV)
conduction, QRS duration, and
morphology to determine type of CPP
(1, A)
Clinicians and patients engage in
shared decision-making approach
(1, C-EO)
Considering
CRT with
BiV pacing
Potential
benefit
from CPP
Considering
CSP
Pre-procedural
echo screening
for LVEF
(1, C-EO)
Imaging, modality
(echo, cardiac
magnetic resonance
imaging [cMRI],
or computerized
tomography [CT])
to target LV lead
placement
(2b, B-R)
Pre-procedural
echo screening
for LVEF
(1, A)
Pre-procedural
echocardiogram
(echo) assessment
of ventricular
dyssynchrony to
predict outcomes
of CRT with
BiV pacing
(3: No Benefit, A)
Colors correspond to the Class of Recommendation on pages 46 and 47.
