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The occurrence of left ventricular (LV) anodal activation during pacing with modern multipolar cardiac resynchronization therapy (CRT) systems has never been reported. The aim of our study was to demonstrate, by means of electrocardiogram (ECG) analysis, the occurrence of simultaneous cathodal-anodal LV capture with quadripolar LV leads.

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Occurrence of simultaneous cathodal–anodal capture with left ventricular quadripolar leads for cardiac resynchronization therapy: an electrocardiogram evaluation