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Physiologic Pacing: More Answers, More Questions
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---2August 20242024/2025A+
- Physiologic Pacing: More Answers, More Questions 
 1037 
 DAVID N. KENIGSBERG, M.D. and KENNETHA.ELLENBOGEN,M.D. 
 From the Department of Medicine, Virginia Commonwealth University Medical Center, Richmond, Virginia, USA 
 Editorial Comment 
 “Happy is the one who can know the cause of things”-Virgil 
 Right ventricular apical (RVA) pacing is deleterious and 
 may result in left ventricular dysfunction, heart failure, and 
 increased mortality.1-5 Pacing from the RVA results in a left 
 bund...
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