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Heart failure with preserved ejection fraction (HFpEF) is a clinical syndrome in which patients have signs and symptoms of HF as the result of high left ventricular (LV) filling pressure despite normal or near normal LV ejection fraction (LVEF; ≥50 percent) [ .
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Left ventricular function correlates strongly with total and cardiovascular mortality (Curtis et al). Among patients with coronary heart disease , left ventricular function is actually a stronger predictor of death than the atherosclerotic burden.The simplest and cheapest tool is a fluid-filled pigtail catheter in the LV and an arterial sheath to determine either the best pacing site or the best AV-delay. It has to be emphasized that every pacing site is associated with an optimal AV-delay, thus an individualized protocol has to be run. Every patient has an individual superior pacing site.
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