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A collection of questions and answers related to the ibhre studies exam, covering topics such as cardiac resynchronization therapy (crt), implantable cardioverter-defibrillators (icds), and heart failure management. Useful for students preparing for the ibhre exam and provides insights into key concepts and clinical trials.
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COMPANION - Correct Answer-CRT decreased hospitalizations and mortality NYHA Class III-IV BLOCK HF - Correct Answer-RVP vs BiVP; BiVP reduced hospitalization MADIT-RIT - Correct Answer-Reduction in Inappropriate therapy and mortality thru ICD programming: 200 bpm or 170 bpm with delay in therapy reduced inappriopriate therapy and all cause mortality MADIT I - Correct Answer-ICDs reduce mortality compared to drugs MADIT II - Correct Answer-ICD vs no therapy ICD reduces mortality by 31% Pts with prior MI, reduced LV function EF<30% SCD-HeFT - Correct Answer-ICD vs Amioderone Amioderone alone is not effective in preventing SCD ICD: 21% reduction in isc cardio 27 % reduction in non-ics cardio Pts with Class II and III EF <35% CASH - Correct Answer-ICD vs amio vs metoprolol most ICDs benefit in first 5 years MOST - Correct Answer-less afib with physiologic pacing (dual>single) DAVID - Correct Answer-DDD vs VVI in ICDs iwth no pacing indication, EF<40% DDD not superior and may be worse COMPANION - Correct Answer-similar response with lateral, postlat, antlat LV lead compare pacing, ICD, and drug therapy for HF CRT good, CRTD even better SMART AV - Correct Answer-QLV best >95 ms Three studies that proved ICD > amiodorone for SCA survivors - Correct Answer-CASH AVID (antiarrhythmic vs implantable defib) CIDS
Three primary prevention studies for high risk patients post MI - Correct Answer-MADIT MADIT II MUSTT MUSTT - Correct Answer-ICDs for coronary artery disease pts at risk for arrhythmia Three primary prevention for HF trials - Correct Answer-SCD-HeFT COMPANION DEFINITE - specifically non-ischemic CM pts