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Related Experiment Videos

Bachmann's bundle versus right atrial appendage capture.

Steven J Bailin1, Christian Machado, Emmanuel Nsah

  • 1Iowa Heart Center, 411 Laurel, Suite 1250, Des Moines, IA 50314, USA. lvoegtlin@iowaheart.com

Pacing and Clinical Electrophysiology : PACE
|April 12, 2003
PubMed
Summary
This summary is machine-generated.

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Bachmann

Area of Science:

  • Electrophysiology
  • Cardiac Pacing

Background:

  • Bachmann's Bundle (BB) pacing is an emerging alternative to right atrial appendage (RAA) pacing.
  • Electrophysiological properties of BB tissue differ from RAA tissue.

Purpose of the Study:

  • To evaluate the feasibility of automatic capture recognition technology for Bachmann's Bundle (BB) pacing.
  • To compare electrophysiological parameters between BB and RAA pacing.

Main Methods:

  • Active-fixation leads were implanted consecutively in the RAA and then the BB in 18 patients.
  • Key parameters including capture threshold, sensing threshold, impedance, evoked response, and polarization were measured for both sites.

Main Results:

  • No significant differences were found between BB and RAA in capture threshold, sensing threshold, impedance, evoked response, or polarization.

Related Experiment Videos

  • Differences in atrial tissue characteristics did not affect the evoked response measured by the capture recognition algorithm.

    • Conclusions:

    • Automatic capture recognition technology is likely applicable for both BB and RAA pacing sites.
    • Analogous evoked response and polarization values suggest technology designed for atrial pacing can be used at both locations.