Table 3

Summary of cost-effectiveness recommendations arising from the base case analysis (threshold value: £20 000 per QALY gained)

NYHAQRS duration <120 msQRS duration 120–150 msQRS duration >150 ms
Patients without LBBB morphology
 I*Medical therapyICDMedical therapy
 IMedical therapyICDMedical therapy
 IIIMedical therapyMedical therapyCRT-P
 IVMedical therapyMedical therapyCRT-P
Patients with LBBB morphology
 I*Medical therapyCRT-D
 IIMedical therapyCRT-D
 IIICRT-PCRT-P
 IVCRT-PCRT-P
  • *Results in NYHA I and IV patients are based on relatively low patient numbers and may be subject to bias due to the nature of trial inclusion criteria for NYHA I patients. For further detail see main text.

  • CRT, cardiac resynchronisation therapy; CRT-D, combined CRT and ICD device; CRT-P, stand-alone CRT device; ICD, implantable cardioverter defibrillator; LBBB, left bundle branch block; NYHA, New York Heart Association; QALY, quality-adjusted life-year.