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https://www.medicalnewstoday.com/articles/pacemaker-for-heart-failure
There are several types of pacemakers, and a bilateral one can help a great deal with low ejection fraction and CHF (chronic heart failure).

This study: https://onlinecjc.ca/article/S0828-282X(23)01606-9/fulltext suggests that it works better in some cases than in others, such as if left bundle branch block is involved, and that some caution needs to be taken for those with cardiomyopathy as it can exacerbate it when paced or actually commence that problem.

As usual, this is best run past your cardiologist to make sure you are fully informed and fully in agreement with anything he/she proposes.

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Replies to "https://www.medicalnewstoday.com/articles/pacemaker-for-heart-failure#1 There are several types of pacemakers, and a bilateral one can help a great deal..."

@gloaming - It's been my experience, over years, that MedicalNewsToday is not always a reliable source of information. I realize that the second link you included is from a reputable medical journal. However, because of that, it's so technical that most of us could easily misinterpret the findings.

So I second the recommendation if your last sentence: "As usual, this is best run past your cardiologist to make sure you are fully informed and fully in agreement with anything he/she proposes."