Biventricular pacemaker for heart failure (cardiac resynchronization therapy)

Location of pacemaker and how it connects to the heart.

A pacemaker for heart failure, used for cardiac resynchronization therapy (CRT), sends electrical pulses to the heart to keep the lower chambers (the ventricles) pumping together. This type of pacemaker is also called a biventricular pacemaker.

A doctor places the pacemaker in the chest. The pacemaker has three wires, or leads, that connect to the heart through the subclavian vein. One lead is in the right atrium (upper chamber). A second lead is in the right ventricle. The third lead is in a vein on the outside of the left ventricle. This vein is called the coronary sinus branch vessel.

Current as of: October 2, 2025

Author: Ignite Healthwise, LLC Staff
Clinical Review Board
All Ignite Healthwise, LLC education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Current as of: October 2, 2025

Author: Ignite Healthwise, LLC Staff

Clinical Review Board
All Ignite Healthwise, LLC education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

This information does not replace the advice of a doctor. Ignite Healthwise, LLC, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content.

Heart

NewYork-Presbyterian Brooklyn Methodist Hospital

Cardiac Resynchronization Therapy (CRT)

The most comprehensive cardiovascular program in Brooklyn

Cardiac resynchronization therapy (CRT), is designed to correct ventricular dyssynchrony, a type of irregular heart beat. Numerous studies have shown that this device can decrease the risk of mortality from sudden cardiac death and improves heart function and quality of life in patients with moderate to severe heart failure.

CRT improves the symptoms of heart failure in about 50% of patients who have been treated extensively with medications but still have severe or moderately severe heart failure symptoms. It's the most important advance in the treatment of heart failure for appropriate patients since the introduction of beta-blockers.

Like a pacemaker, a cardiac resynchronization device sends tiny electrical pulses via leads (soft insulated wires) to the lower chambers of the heart to synchronize the contractions of the ventricles.

Two types of heart failure devices are available to coordinate the heart's pumping action, improve blood flow, and speed up a heart that is beating too slowly - a CRT pacemaker and a pacemaker with defibrillation therapy. The latter also detects a heart rhythm that is dangerously fast.

During the procedure to install the device, small incisions are made in the chest and the leads and device are inserted. Patients are given a local anesthetic and the patient is usually discharged from the Hospital within 24 hours. It is recommended that patients with the device continue taking medication as determined by their physicians.

CRT can reduce a number of symptoms of heart failure, helping patients to resume many daily activities, and improve their quality of life.

The New York Heart Association has a classification system that helps health care professionals determine the severity of a person's heart failure and helps to guide the physician to a proper course of treatment. The best way to learn your classification and to discuss whether CRT is an option for you is to talk to your doctor.

Learn more about pacemakers and/or defibrillation therapy.

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NewYork-Presbyterian Brooklyn Methodist Hospital

Cardiac Resynchronization Therapy (CRT)