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Previous Volume 355:288-294 July 20, 2006 Number 3 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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This Journal feature begins with a case vignette that includes a therapeutic recommendation. A discussion of the clinical problem and the mechanism of benefit of this form of therapy follows. Major clinical studies, the clinical use of this therapy, and potential adverse effects are reviewed. Relevant formal guidelines, if they exist, are presented. The article ends with the author's clinical recommendations.

A 55-year-old man who had had an anterior-wall myocardial infarction six months previously is admitted with an exacerbation of congestive heart failure. An electrocardiogram shows sinus rhythm with a left bundle-branch block; an echocardiogram demonstrates a left ventricular ejection . . . [Full Text of this Article]

The Clinical Problem

Pathophysiology and Effect of Therapy

Clinical Evidence

Clinical Use

Adverse Effects

Areas of Uncertainty

Guidelines

Recommendations

Source Information

From the Department of Medicine, Harvard Medical School, and the Division of Cardiology, Brigham and Women's Hospital — both in Boston.

Related Letters:

Biventricular Pacing
Cicoira M., Natarajan D., Henrikson C. A., Jarcho J.
Extract | Full Text | PDF  
N Engl J Med 2006; 355:1738-1739, Oct 19, 2006. Correspondence

This article has been cited by other articles:

• Healy, D. G., Hargrove, M., Doddakulla, K., Hinchion, J., O'Donnell, A., Aherne, T. (2008). Impact of pacing modality and biventricular pacing on cardiac output and coronary conduit flow in the post-cardiotomy patient. ICVTS 7: 805-808 [Abstract] [Full Text]  
• Nagele, H., Azizi, M., Hashagen, S., Castel, M.A., Behrens, S. (2007). First experience with a new active fixation coronary sinus lead. Europace 9: 437-441 [Abstract] [Full Text]  
• Cicoira, M., Natarajan, D., Henrikson, C. A., Jarcho, J. (2006). Biventricular Pacing. NEJM 355: 1738-1739 [Full Text]