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cardiac resynchronization therapy is an established therapy for patients with advanced heart failure what about patients with mild heart failure to that we have to go into reverse for a study that was first published years ago but coming up in the September 2015 issue of Jack heart failure we have five year results long-term extrapolation of clinical benefits among patients with mild heart failure receiving cardiac resynchronization therapy and I am with dr. michael gold who was an MD ph.d and chief of cardiology at the Medical University of South Carolina letamp;#39;s take us back first into reverse and remind us of where this was originally what were your outcomes when you first reported the reverse trial so reverse was one of the first studies of CRT and mild heart failure so as a prospective randomized double-blind study of patients with mild heart failure reduce ejection fraction on a wide QRS and what we did in reverse is that every patient was implanted with a device and then t