As promised: Here is a little more about my CRT
In early 2016, it was known that I had a ‘Left Bundle Branch Block’ … but this was considered fairly benign, and it was more important to fix the plumbing [quadruple Coronary Artery Bypass Grafts]
In late 2016 the electrical problems became significant, and they fitted a conventional 2-wire pacemaker.
In 2018, I suffered ‘Severe Heart Failure’ [the ‘volume fraction’ of pumping should be about 70%, mine had suddenly dropped to 17%] … Fortunately, fitting a 3-wire CRT device; re-using the original two, and adding the tricky third wire, worked very nicely. The basic problem was failure of the heart’s electrical system, which was causing the left and right ventricles to pump in anti-phase … so the blood was just washing between the chambers !
MichaelG.
.
This page features a brilliant animation showing the problem:
https://watchlearnlive.heart.org/CVML_Mobile.php?moduleSelect=cardrt
Yes, it does refer to arrhythmia … but my device is active on over 90% of my heartbeats, so it’s really doing most of the synchronisation work.
… and
Here’s a short snippet from one of Tom Kenny’s excellent books:

Ref:
The Nuts and Bolts of Cardiac Resynchronization Therapy
Tom Kenny
Vice President Clinical Education & Training
St Jude Medical, Austin, Texas
.
See also:
The Nuts & Bolts of Cardiac Pacing
Edited By Michael Gilligan on 26/03/2020 09:12:47