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Cardiac Physiologic Pacing for the Avoidance and Mitigation of Heart Failure

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44 Figure 13. CPP in Pediatric Populations CRT with BiV pacing (2a, C-LD) CPP (2b, C-LD) CCP in Pediatric Populations without Congenital Heart Disease HF with myocardial dysfunction Existing ventricular pacemaker Pediatric patients with complete AV block needing ventricular pacing YES YES NO CPP in pediatric patients with HF COR LOE Recommendations 2a C-LD 1. In pediatric patients with complete AV block, pre-existing ventricular pacing, and symptomatic clinical HF on GDMT, CRT with BiV pacing is reasonable. 2b C-LD 2. In pediatric patients with complete AV block and evidence of clinical HF on GDMT, CPP may be considered.

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