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by echocardiography-guided (EG) transvenous LV lead place-ment targeting the site of latest LV mechanical activation com-pared with the routine approach by performing a prospective, randomized, double-blinded study. Clinical Perspective on p 434.

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The lower left heart chamber is called the left ventricle. The left ventricle is the heart's main pumping chamber. During left ventricular hypertrophy, the thickened heart wall can become stiff. Blood pressure in the heart increases. The changes make it harder for the heart to effectively pump blood.

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