This article examines how to assess the reliability of potential techniques for performing optimization of biventricular pacemakers in patients with atrial fibrillation. It explores the magnitude of improvement that is likely to be obtained with the optimization of biventricular pacing in this clinical setting and discusses the lessons that can be learned with regard to the mechanisms of action of biventricular pacing in the general heart failure population.
Keywords: Atrial fibrillation; Biventricular pacing; Cardiac resynchronization therapy.
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