Key result
Bachmann Bundle pacing optimizes atrial activation and avoids the interatrial conduction delay frequently exacerbated by conventional right atrial appendage pacing.
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Bachmann bundle pacing is highlighted as a potentially more physiologic alternative to conventional right atrial appendage pacing to optimize atrial activation and reduce interatrial conduction delay.
Conventional atrial pacing at the right atrial appendage (RAA) is often a compromise of convenience over physiology. By initiating atrial activation from an electrically distal site, RAA pacing frequently exacerbates interatrial conduction delay (1). As the field moves toward physiologic ventricular pacing, the Bachmann Bundle (BB)-the heart’s primary interatrial electrical
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Amoateng et al. (2026) studied this question. Bachmann Bundle pacing optimizes atrial activation and avoids the interatrial conduction delay frequently exacerbated by conventional right atrial appendage pacing.
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