We recommend that after successful cardiac surgery, patients with HF undergo assessment for implantable cardiac devices within 3-6 months of optimal treatment.
(Strong Recommendation, High-Quality Evidence)

We recommend that patients with implantable cardiac devices in situ should be evaluated for programming changes before surgery and again after surgery, in accordance with existing CCS recommendations.
(Strong Recommendation, Low-Quality Evidence)

We recommend that after successful cardiac surgery, all patients be referred to a local cardiac rehabilitation program.
(Strong Recommendation, High-Quality Evidence)

Values and preferences: These recommendations reflect our support of and conformity with pre-existing cardiac device and rehabilitation guidelines statements.

Practical tip: During surgical revascularization, consideration can be given to implantation of epicardial LV leads to facilitate biventricular pacing in eligible patients who might be candidates for CRT, especially if the coronary sinus anatomy is known to be unfavourable for lead placement.

Patients with HF and who have successful surgical coronary revascularization can be referred to a cardiac rehabilitation program.