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01 February 2005. Article history. PDF. Split View. Cite. Permissions. Share. Objective: Biventricular pacing has demonstrated improvement in cardiac function in treating congestive heart failure (CHF). Two different operative strategies (coronary sinus vs. epicardial stimulation) for left ventricular (LV) pacing were compared.Epicardial leads are sutured to the epicardial surface or screwed into the myocardium. Alternative approaches to LV pacing that are still awaiting thorough evaluation comprise ultrasound-activated LV endocardial electrode and transseptal left bundle branch pacing (Fig. 6f, g ) [ 69 , 70 ].
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