Baseline Characteristic
Heart Failure Symptoms
LVEF
Rhythm
Life Expectancy
Frailty
Favours RV based Pacing
No heart failure or NYHA I
LVEF >45%
Persistent or permanent AF
<1 year
Higher frailty index or comorbidity score
Favours CRT based pacing
NYHA II, III or ambulatory IV heart failure
LVEF ≤45%
Sinus rhythm or paroxysmal AF
>1 year
Lower frailty index or comorbodity score