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Cardiac Physiologic Pacing for the Avoidance and Mitigation of Heart Failure

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36 CPP Follow-up and Management Figure 11. Patient Follow-up and Management After Implantation With a CPP Device Patients implanted with a CPP device Clinical follow-up in patients with systolic HF Device follow-up CRT: Echo within 3–12 months (1, B-NR) Remote monitoring (1, B-NR) HBP or LBBAP: Echo within 3–12 months (1, C-EO) CRT: 12-lead ECG (1, C-EO) CRT: Multidisciplinary management with HF and device clinics (2a, B-NR) CSP: Multi-lead or 12-lead ECG (1, B-NR) HBP or LBBAP: Multidisciplinary management with HF and device clinics (2a, C-EO) CSP: Comprehensive assessment at follow-up including CSP capture, BBB correction, and thresholds (2a, B-NR) Continue GDMT with recovery of LV function (2a, C-LD) HBP: If threshold rises >1 V, more frequent follow-up needed (2a, C-EO) Routine use of thoracic impedance alone to manage congestive HF (3: No Benefit, B-R)

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