Atrial Reverse Remodeling by Bachmann's Bundle Pacing With Improved Interatrial Dyssynchrony: Case Series.
Misaki Naka, Tetsuma Kawaji, Bingyuan Bao et al.
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Case in brief
In a series of eight cases of Bachmann's bundle pacing (BBp), three patients demonstrated significant electrocardiographic changes, including P-wave shortening and increased amplitude in inferior leads. These changes correlated with improved left atrial function, evidenced by increased a' velocity, decreased E/e', and reduced left atrial diameter, leading to stabilization of heart failure symptoms. The other five cases did not show these improvements.
Diagnostic / clinical pearl
Successful Bachmann's bundle pacing can enhance interatrial conduction and improve left atrial function, which may stabilize heart failure symptoms.