Inclusion criteria | |
 Symptomatic heart failure (NYHA class II–IV despite OMT) | |
 ECG with LBBB according to the Strauss criteria [37] or indwelling single or dual chamber pacemaker and a paced QRS ≥ 180 ms | |
 LVEF ≤ 35% | |
 Age ≥ 40 years | |
 Written informed consent | |
Exclusion criteria | |
 Expected lifetime < 6 months | |
 Expected cardiac surgery within the next 6 months | |
 Recent (< 3 months) myocardial infarction or CABG | |
 Pregnant or lactating |