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Systolic means the part of the heartbeat where the heart contracts and squeezes to pump out blood. Left ventricular systolic dysfunction (LVSD) means that the left ventricle is not working well - it is pumping out less oxygenated blood to your body than it should do.
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Taken together, these data suggest that the echo-guided strategy of LV lead placement during CRT implantation improves patient outcomes by pacing closer to the site of latest mechanical activation, which increases the likelihood of achieving ventricular resynchronization.
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