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There also is evidence that endocardial stimulation of the LV lead is more physiologic as activation of the ventricular wall proceeds from endocardium to epicardium, leading to less arrhythmogenicity, better synchronization of the LV, and hemodynamic superiority compared to epicardial leads.
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Asymptomatic left ventricular systolic dysfunction (ALVSD) is defined as depressed LV systolic function in the absence of heart failure (HF) symptoms, which is called "stage B HF" in the American College of .
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