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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2007. For permissions please email: journals.permissions@oxfordjournals.org

Alternative pacing sites at the atrial level

Tamas Szili-Torok1, Luc Jordaens1 and Richard Sutton2,*

1 Thoraxcentre, Erasmus MC, Rotterdam, The Netherlands
2 St Mary's Hospital, London, UK

* Corresponding author. 5 Devonshire Place, London, W1G 6HL, UK. Tel: +44 2079351011; fax: +44 2079356718. E-mail address: r.sutton{at}imperial.ac.uk

Pacing the atria at alternative sites may have value in preventing atrial fibrillation but the available data so far fails to prove this point. This may be explained by inadequate lead positioning. Improvement in lead placement can now be achieved by use of advanced imaging techniques such as intracardiac echocardiography. Further studies are required in order to demonstrate the potential benefit that, for example, Bachmann's bundle stimulation should offer in atrial arrhythmia prevention.

Key Words: Atrial fibrillation • Interatrial sepum • Bachmann's bundle • Atrial pacing • Alternative pacing sites • Intracardiac echocardiography • Atrial fibrillation prevention


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