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Cardiac Physiologic Pacing for the Avoidance and Mitigation of Heart Failure

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45 Colors correspond to the Class of Recommendation on pages 46 and 47. Target RV mid-septal, inflow, or outflow tract transvenous endocardial site in preference to RV apical endocardial site (2a, C-LD) Apical LV (systemic ventricle) epicardial pacing in preference to RV epicardial pacing (2a, C-LD) Meets criteria for transvenous ventricular pacing Meets criteria for epicardial ventricular pacing YES YES Pediatric patients with indications for pacemaker therapy COR LOE Recommendation 2a C-LD 1. In pediatric patients undergoing pacemaker implantation for AV block, it is reasonable to either target an RV mid-septal, inflow, or outflow tract transvenous endocardial site, or use apical LV (systemic ventricle) epicardial pacing, in preference to RV apical endocardial or epicardial pacing sites.

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