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Myocardial perfusion; ventricular function, left ventricular function and dilated cardiomyopathy. This case shows the improvement promoted by cardiac resynchronization therapy (CRT) on myocardial perfusion and left ventricular (LV) performance assessed by gated myocardial perfusion scintigraphy. The patient had idiopathic dilated cardiomyopathy, left bundle branch block and severe heart failure despite optimized medical treatment. After CRT, clinical improvement, QRS reduction and improvementdoi:10.1590/s0066-782x2008001500013 pmid:18853049 fatcat:4jfcd5ixefegfpazgxiuba6tsu