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although cardiac resynchronization therapy reduces morbidity and mortality in patients with heart failure a docHub minority of patients do not respond adequately to this therapy now in the european heart journal researchers report on an interesting twist on the care of patients who have received cardiac resynchronization therapy or crt the objective of the study was to examine the impact of a multi-disciplinary care approach on the clinical outcome in crt patients what they did was look at clinical outcomes in patients prospectively receiving multi-disciplinary care and compared that with a control group of patients who received conventional care just for your information the multi-disciplinary care group was followed in an integrated clinic setting by a team of sub-specialists from the heart failure electrophysiology and echocardiography service at one three and six months post implant all patients had echocardiographic guided optimization at their one month visit perhaps it was