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AI-Guided Left Bundle Branch Area Pacing

Recruiting

A Pilot Study Assessing Outcomes Of Artificial Intelligence-Guided Left Bundle Branch Area Pacing For Cardiac Resynchronization In Heart Failure

Who can join

Ages 18 and older · All sexes

Full eligibility criteria
Inclusion Criteria

* Age: 18 years or older.
* Left Ventricular Ejection Fraction (LVEF): \<50% within 6 months prior to enrollment.
* QRS Duration: Resting QRS duration ≥ 130 ms on ECG OR anticipated right ventricular pacing \> 40% OR device in place with right ventricular pacing \> 40% within 6 months prior to enrollment.
* Medical Therapy: Optimized on guideline-directed medical therapy for heart failure.
* AI-ECG probability of low LVEF: \>0.5

Exclusion Criteria

* Age less than 18 years old
* Inability to follow-up
* Pregnancy

About the study

The purpose of this study is to compare the effectiveness of AI-guided LBBAP versus conventional LBBAP (not AI-guided) in improving CRT response rates and clinical outcomes.

What is being tested

Sponsor: Mayo Clinic · Participants: 224 · Started: Jan 23, 2026

Contact the study team

Official record on ClinicalTrials.gov — NCT07206602

Locations in the U.S.

MinnesotaMayo Clinic in Rochester, Rochester

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.