Overview
The purpose of this study is to compare the effectiveness of AI-guided LBBAP versus conventional LBBAP (not AI-guided) in improving CRT response rates and clinical outcomes.
Eligibility
Inclusion Criteria
- Age: 18 years or older.
- Left Ventricular Ejection Fraction (LVEF): \<50% within 6 months prior to enrollment.
- QRS Duration: Resting QRS duration ≥ 130 ms on ECG OR anticipated right ventricular pacing \> 40% OR device in place with right ventricular pacing \> 40% within 6 months prior to enrollment.
- Medical Therapy: Optimized on guideline-directed medical therapy for heart failure.
- AI-ECG probability of low LVEF: \>0.5
Exclusion Criteria
- Age less than 18 years old
- Inability to follow-up
- Pregnancy