A CRT-P is recommended for patients who are suitable for resynchronization therapy, but not for an ICD (Recommendation Strong, Quality Moderate).

Values and Preferences This recommendation places a greater value on quality of life and improvement of heart failure symptoms, rather than prevention of sudden death.

Practical Tip CRT-P has been shown to reduce morbidity and mortality in patients with NYHA class III and ambulatory class IV heart failure symptoms. Therapy should be individualized in accordance with the overall goals of care.