Compared with patients without primary endpoint events, patients with primary endpoint events had lower left ventricular ejection fraction (LVEF), higher NT Pro-BNP level, and a decreased use of Angiotensin converting enzyme inhibitors (ACEIs) or angiotensin receptor blockers (ARB) in patients with events; however, there were no statistically statistical differences in age, sex, CRT type, or prevalence of atrial fibrillation at baseline between the two groups. Here, NPPB is linked to atrial fibrillation.