Activation maps in a patient who had a normal QRSd despite LBBB pattern before implant.
Note the large electrical dyssynchrony (ED = 32ms) in the native rhythm (NAT panel) in
spite of a normal QRS duration (QRSd = 100ms). Cardiac resynchronization therapy (CRT
panel) restored electrical synchrony (ED = 20ms) in the normal range. Pacing sites are
indicated by asterisks. Each panel shows anterior (ANT, left) and inferior (INF, right)
four-chamber views. RV-P and LV-P indicate RV pacing only or LV pacing only, respectively.
(From Ghosh S, Silva JN, Canham RM, et al. Electrophysiologic substrate and
intra¬ventricular left ventricular dyssynchrony in nonischemic heart failure
patients undergoing cardiac resynchronization therapy. Heart Rhythm 2011;8:692–699;
with permission.)