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Are you a candidate? Take a self assessment test
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Cardiac Resynchronization Therapy (CRT) is a breakthrough implantable therapy that has significantly improved heart function, relieved symptoms, and improved quality of life for many people suffering from heart failure. This quick and easy self-assessment is designed as a first step to determine whether or not cardiac resynchronization therapy can help you.

A special thank you to William Abraham, MD, Chief of Cardiology at The Ohio State University Medical Center, for his medical review of this information.

Simply answer the following questions. Then click the Submit button for your results—and learn whether cardiac resynchronization therapy may help your heart failure.

1. Has your doctor told you that you have "moderate" or "severe" heart failure? (One answer only)

I have been diagnosed with moderate heart failure

I have been diagnosed with severe heart failure

I have been diagnosed with heart failure but I don't know if it is moderate or severe

I have not been diagnosed with heart failure but I do have heart failure symptoms

I have not been diagnosed with heart failure

2. Has your doctor used the term "Class" (i.e. Class III) to describe your heart failure condition? If so, what "Class" of heart failure do you have? (One answer only)

Class I

Class II

Class III

Class IV

I have been diagnosed with heart failure but I don't know if it is moderate or severe

I have not been diagnosed with heart failure

Don't Know

3a. Are you currently taking prescription medication (such as diuretics "water pills", ACE Inhibitors, or beta-blockers) for any of the following heart failure symptoms?

I am not currently taking any prescription medications

Medications to reduce the fluid retention, swelling of the ankles, or edema

Medications to improve the pumping function of the heart

Medications to lower blood pressure

Medications to improve blood circulation

Medications to relieve chest pains

Don't Know

3b. Which of the following responses most closely describes the impact of the prescription medications on your condition? (One answer only)

My condition has improved

My condition has remained the same

My condition has worsened

I'm not currently taking any prescription medications

Don't Know

4. Have you had an electrocardiogram (EKG) showing that your "QRS Interval" is greater than "0.13 seconds" or "130 milliseconds?" (One answer only)

Yes

No

Don't Know

5. Have you had an EKG that indicated the presence of "bundle branch block"? (One answer only)

Yes

No

Don't Know

6. Do you know your Ejection Fraction?

Yes

No

Don't Know

7. Has your doctor told you that you have an Ejection Fraction that is less than 35? [This is also expressed as having a Left Ventricular Ejection Fraction (LVEF) of 35% or less.] (One answer only)

Yes

No

Don't Know

To get your self-assessment results, click on Submit below

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© 2004 HeartFailureInfo.com. All Rights Reserved. Valid only in U.S. HeartFailureInfo.com is not intended to provide medical advice, nor is the information here a substitute for medical advice. Consult your doctor for information about diagnosis or treatment of your condition. If you need emergency assistance, call 911.