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Cardiac Physiologic Pacing for the Avoidance and Mitigation of Heart Failure

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8 Indications for CPP in Patients with Indications for Pacemaker Therapy Figure 1. Pacing Strategies in Patients Undergoing Pacemaker Implantation for Bradycardia Indications NO YES Anticipated substantial ventricular pacing Patients with indications for pacemaker therapy LVEF >50% Ventricular pacing dependent undergoing HBP pacemaker implantation LVEF 36%–50% CRT with BiV pacing (2a, B-R) HBP or LBBAP (2a, B-NR) CRT with BiV pacing, HBP, or LBBAP (2b, B-NR) Placement of additional backup lead (2b, C-LD)

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