18
General Principles
3.6.1. Heart Failure
COR LOE
Recommendations
2a B-NR
1. In patients with ACHD and heart failure symptoms
who have systemic left ventricular (LV) dysfunction and
biventricular circulation, and who otherwise meet accepted
criteria for cardiac resynchronization therapy (CRT), use of
CRT is reasonable to improve heart failure symptoms.
2a C-LD
2. In patients with ACHD and heart failure symptoms who
have systemic LV systolic dysfunction and biventricular
circulation, use of GDMT for heart failure is reasonable to
improve heart failure symptoms.
2a C-LD
3. In patients with ACHD and heart failure symptoms who
have systemic LV dysfunction and biventricular circulation,
who otherwise meet accepted criteria, use of a primary-
prevention implantable cardioverter-defibrillator (ICD) is
reasonable to prevent sudden cardiac death (SCD).
3.6. Heart Failure and Transplantation
