Jonathan M. Behar et al. JACEP 2016;2:

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Jonathan M. Behar et al. JACEP 2016;2:799-809 The Optimal Site for LV Stimulation During Biventricular Pacing Optimal endocardial (left) and epicardial (right) sites (by acute hemodynamic response [AHR]) for placement of the LV lead in the 8 patients. Black circles with a yellow circumference represent the best overall location (LVendo vs. LVepi). This demonstrates that in 6 patients, LVendo pacing produced the best AHR and the optimal locations were dispersed throughout the geometry of the LVendo. Two patients had the best AHRs achieved with LVepi pacing; as can be seen the pacing locations were clustered due to the constraints of the epicardial veins. AHA = American Heart Association; ANT = anterior; ANT LAT = anterior lateral; POST = posterior; POST LAT = posterior lateral; SEPT = septal; other abbreviations as in Figure 1. Jonathan M. Behar et al. JACEP 2016;2:799-809 The Authors