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Cardiac Physiologic Pacing for the Avoidance and Mitigation of Heart Failure

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9 Colors correspond to the Class of Recommendation on pages 46 and 47. NO YES LBBB Substantial ventricular pacing LV epicardial lead placement (2b, C-EO) Anticipated future CRT LVEF >35% LVEF 36%–50% LVEF >50% LV epicardial lead placement (2a, B-R) RV lead with minimization of RVP (2a, B-R) CRT with BiV pacing (3: No benefit, B-R) LBBAP (2b, C-LD) HBP (2b, C-LD) CRT with BiV pacing, HBP, or LBBAP (2b, C-LD) At time of cardiac surgery

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