Abstract

It has been reported that a significant proportion of cardiac resynchronization therapy (CRT) patients does not benefit from treatment [1]. The lack of response to CRT has a variety of potential causes. In particular, patient selection and implantation procedure are fundamental to the success of CRT [2]. Given that CRT is intended to improve ventricular synchrony by coordinating left ventricle (LV) and right ventricle (RV) contractions, the suggestion has been made that optimal lead positioning could result from maximal RV to LV electrode separation [3].

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