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The assessment of left ventricular (LV) diastolic function should be an integral part of a routine examination, particularly in patients presenting with dyspnea or heart failure. About half of patients with new diagnoses of heart failure have normal or near normal global ejection fractions (EFs).
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In this analysis of the STARTER trial, 1 guiding LV lead placement to the site of latest mechanical activation conferred a lower mortality risk, a lower risk of appropriate defibrillator therapy, and longer survival rate free from defibrillator therapy over a mean follow-up time of 3.7 years from CRT-D implantation. These data have important .
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