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Atrial lead implantation in the Bachmann bundle

  • Steven J. Bailin
    Correspondence
    Address reprint requests and correspondence: Dr. Steven J. Bailin, Iowa Heart Center-Heart Rhythm Center, 411 Laurel Street, Suite 1225, Des Moines, Iowa 50314.
    Affiliations
    Heart Rhythm Center of the Iowa Heart Hospital, Des Moines, Iowa
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      The search for alternative atrial pacing sites has been driven by the observation that atrial activation patterns can influence the incidence of atrial fibrillation (AF).
      • Han J.
      • Millet D.
      • Chizzonittti B.
      • Moe G.K.
      Temporal dispersion of recovery of excitability in atrium and ventricle as a function of heart rate.
      • Papageorgiou P.
      • Monahan K.
      • Boyle N.G.
      • Seifert M.J.
      • Beswick P.
      • Zebede J.
      • Epstein L.M.
      • Josephson M.E.
      Site dependent inter-atrial conduction delay relationship to initiation of atrial fibrillation.
      One goal of atrial pacing is to prevent nonphysiologic delay between right and left atrial activation. Pacing from atrial sites that decrease dispersion of atrial refractoriness may decrease the incidence of AF.
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