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}SUMMARY In this article the negative effects and prognosis of a prolonged QRS • duration in patients with congestive heart failure are discussed. The purpose, criteria for, and effects of cardiac resynchronisation • therapy are described. A selection protocol for patients with congestive heart failure is • outlined, with emphasis on the role of the Heart Failure Nurse Practitioner. Results of the selection protocol are presented.

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A protocol to screen patients with congestive heart failure for cardiac resynchronisation therapy by a nurse practitioner in an out-patient heart failure clinic