[T]he heart... is, in reality, a that contains an apex. The cardiac helix form... was described in the 1660s by Lower as having an apical , in which … - Gerald Buckberg

I used [Paco's] heart model... as my guide, to place pacemaker electrodes through a location on top of the septum... to reach the natural conducting system. The twisting motion was immediately reproduced to create normal heart performance!
This approach was applied to over 700 patients around the world... and yielded similarly positive outcomes. Yet conventional cardiac approaches have not changed. Why..? Manufacturers would need to produce new types of pacemakers... Cardiologists would need to learn new techniques... Acquiring proficiency... is a little harder at first, but once learned, requires only 20... minutes of added [surgery] time.

Sudden death... cardiac arrest... occurs because the heart suddenly stops (having either no beat, or develops a totally ineffective beat such as ). CPR is typically performed... and if one is available, a defibrillator... restoring the heartbeat. Yet... the harsh reality is that 85 to 90% of these patients die, and severe brain damage develops in half of those who do survive. ...CPR, defibrillation ...does not address the heart defect ...[W]hy stay so stubbornly attached to a method in which 85 to 90% of patients perish?

In managing heart failure in dilated hearts, we must recognize its cause is flawed heart anatomy... normality is restored after rebuilding the natural cardiac form.