Arrhythmias & electrophysiologyResearch article
Atrial Dyssynchrony and Bachmann Bundle Pacing
- Narrative review
Authors' conclusion
In this review, we summarize the mechanisms and clinical consequences of interatrial dyssynchrony and evaluate the role of Bachmann bundle pacing as a novel target for atrial resynchronization and a potential next step in physiological pacing.
Main finding
As reported in the abstract
Interatrial dyssynchrony and Bachmann bundle pacing (narrative review)
- Interatrial dyssynchrony commonly arises from delayed or impaired conduction through Bachmann bundle or from nonphysiological atrial pacing
- Associated with impaired ventricular filling and increased atrial arrhythmia risk
- Conventional atrial pacing may exacerbate rather than correct abnormal atrial activation
- Emerging data suggest Bachmann bundle pacing may improve atrial synchrony, optimize atrioventricular timing and reduce arrhythmia burden
Original publication
Atrial Dyssynchrony and Bachmann Bundle Pacing. JAMA Cardiol. Published 1 September 2026. doi:10.1001/jamacardio.2026.2226
Summarised from the published abstract; every number is checked against it