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AI-Enabled ECG Mapping to Guide Leadless Atrial Pacemaker Implantation in the Bachmann's Bundle Region

Dingxin Qin1, David E Krummen2, Ayesha Shaik1

  • 1Massachusetts General Hospital, Boston, Massachusetts, USA.

JACC. Case Reports
|July 31, 2026
PubMed
Summary

Artificial intelligence (AI)-enabled electrocardiogram (ECG) mapping successfully guided the first atrial leadless pacemaker implantation in the Bachmann's bundle region. This technique shows promise for precise physiologic atrial pacing.

Keywords:
Bachman's bundle pacingartificial intelligence ECG mappingatrial leadless pacemaker

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Electrocardiogram Fundamentals01:28

Electrocardiogram Fundamentals

Introduction
An electrocardiogram (ECG) is a diagnostic tool for identifying cardiac conditions such as arrhythmias, conduction abnormalities, and myocardial ischemia.
Definition
An electrocardiogram (ECG) visualizes the heart's electrical activity by tracing the electrical movement associated with each heartbeat on a graph or monitor. As the heart beats, an electrical wave passes through it, correlating with the cardiac cycle events.
Parts of an ECG
An ECG utilizes electrodes on the skin to...