Cardiac-resynchronization therapy significantly reduces mortality in advanced heart failure patients when combined with an implantable defibrillator.
Does cardiac-resynchronization therapy with or without an implantable defibrillator reduce the combined risk of death or hospitalization and mortality in patients with advanced heart failure and a prolonged QRS interval?
In patients with advanced heart failure and a prolonged QRS interval, cardiac-resynchronization therapy reduces death or hospitalization, and adding a defibrillator further reduces mortality.
In patients with advanced heart failure and a prolonged QRS interval, cardiac-resynchronization therapy decreases the combined risk of death from any cause or first hospitalization and, when combined with an implantable defibrillator, significantly reduces mortality.
Bristow et al. (2004) studied this question. Cardiac-resynchronization therapy significantly reduces mortality in advanced heart failure patients when combined with an implantable defibrillator.