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Because RV pacing may worsen heart failure due to an increase in ventricular dysynchrony, the current 2010 HFSA Practice Guidelines recommend against placement of a dual-chamber pacemaker in heart failure patients in the absence of symptomatic bradycardia or high-degree AV block.
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Bowling received his medical degree from the University of Mississippi School of Medicine, Jackson, and completed a residency in internal medicine and a fellowship in cardiology at Naval Medical Center, San Diego, Calif.
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