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Previous Volume 347:1803-1804 November 28, 2002 Number 22 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: Abraham et al. (June 13 issue)¹ report that the Multicenter InSync Randomized Clinical Evaluation (MIRACLE), a double-blind trial of resynchronization therapy in patients with end-stage heart failure, demonstrated improvements in the New York Heart Association (NYHA) functional class, quality-of-life score, and distance walked in six minutes after resynchronization therapy. The precise mechanisms underlying the benefit of biventricular pacing are not clear but appear to be related to a reduction in mitral regurgitation, an improvement in systolic function, and optimization of atrioventricular delay and resynchronization.² Currently, the following criteria are used to identify patients who may have a . . . [Full Text of this Article]

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