This document discusses the role of echocardiography in cardiac resynchronization therapy (CRT). It covers: 1) Using echocardiography pre-CRT implantation to evaluate dyssynchrony and predict response to CRT. Greater dyssynchrony indicates higher likelihood of response. 2) Using echocardiography post-CRT implantation to optimize device settings like atrioventricular delay and interventricular delay to maximize benefits. Methods like measuring aortic velocity time integral are used. 3) A hospital's experience with timing follow-up echocardiography post-implantation and optimization at baseline, 3 months, and every 6 months or as needed. Results showed CRT improved