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It is the hyper development of the left ventricle, which was noticed during the first autopsy.
BBC: Marc-Vivien Foe
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Such devices have an extra lead that uses a circuitous route to reach the otherwise hard-to-reach left ventricle.
ECONOMIST: Case history
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They are designed to help the pumping action of the left ventricle - one of the four chambers that make up the heart.
BBC: Image of heart failure
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This extra lead runs from the more easily accessible right ventricle of the heart, out of the heart and into the external vasculature of left ventricle, shocking it from outside the heart.
ECONOMIST: Case history
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An LV lead (a thin, coated wire) is placed on the lower left chamber of the heart (the left ventricle) to stimulate the two sides of the heart to beat in synchronization with each other, which helps the heart to beat more efficiently.
FORBES: St Jude Withdraws Older LV CRT Leads From Market