Bachmann block pattern resulting from inexcitable areas peripheral to the Bachmann's bundle: controversial name or concept?
Open accessAbstract
The electrocardiographic (ECG) P-wave pattern, >120 ms, and bimodal (±) in inferior leads has been attributed to Bachmann's bundle block. We have mapped left atrial (LA) activation in a patient with mild mitral stenosis, displaying this pattern, and with history of recurrent atypical flutter. Failure of multiple antiarrhythmic drugs prompted an electrophysiological study with transseptal access to the LA. Electroanatomic map during flutter disclosed a large low-voltage area in the posterior–superior LA and macro-reentrant activation around the left superior pulmonary vein (LSPV). Ablation of an isthmus between the LSPV and the low-voltage area interrupted the tachycardia. Electrocardiogram in sinus rhythm displayed a wide ± P-wave, identical to pre-ablation recordings. Left atrial activation started at the superior-septal wall (presumed insertion of Bachmann's bundle) (Figure), but it was blocked along the LA roof and therefore, high lateral activation was delayed in an ascending pattern from the postero-inferior LA wall, explaining the pattern. Bachmann block pattern can be caused by non-excitable low-voltage areas peripheral to the insertion of Bachmann's bundle in the high septal LA. This concept would fit well with the frequent association of the ± P-wave pattern with LA macro-reentrant tachycardia. The full-length version of this report can be viewed at: http://www.escardio.org/communities/EHRA/publications/ep-case-reports/Documents/Bachmann-block-pattern.pdf
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The ECG pattern of interatrial (Bachmann) block has been associated with a high incidence of macroreentrant tachycardia, possibly related to low-voltage non-excitable areas in the left atrium.
“The ECG pattern of interatrial (Bachmann) block has been associated with a high incidence of MRT, that could be related to low-voltage non-excitable areas in the LA.199”
From European Heart Rhythm Association (EHRA) consensus document on the management of supraventricular arrhythmias, endorsed by Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLAECE) (2017) · cites this paper as [199]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Biventricular Pacing in Patients with Bradycardia and Normal Ejection Fraction
Yu, C.-M., Chan, J. Y.-S., Zhang, Q., Omar, R., Yip, G. W.-K., Hussin, A., Fang, F., Lam, K. H., Chan, H. C.-K., & Fung, J. W.-H. (2009) · New England Journal of Medicine · doi:10.1056/nejmoa0907555 · Cited by 477 · see citing works
Natural history of isolated bundle branch block
Fahy, G. J., Pinski, S. L., Miller, D. P., McCabe, N., Pye, C., Walsh, M. J., & Robinson, K. (1996) · The American Journal of Cardiology · doi:10.1016/s0002-9149(96)00160-9 · Cited by 316 · see citing works
Bundle-branch block in middle-aged men: risk of complications and death over 28 years
Eriksson, P., Wilhelmsen, L., & Rosengren, A. (2005) · European Heart Journal · doi:10.1093/eurheartj/ehi580 · Cited by 187 · see citing works
Left Bundle Branch Block as a Risk Factor for Progression to Heart Failure
Zannad, F. M., Huvelle, E., Dickstein, K., van Veldhuisen, D. J., Stellbrink, C., Køber, L., Cazeau, S., Ritter, P., Maggioni, A. P., Ferrari, R., et al. (2006) · European Journal of Heart Failure · doi:10.1016/j.ejheart.2006.04.011 · Cited by 178 · see citing works
Chung, E. S., Katra, R. P., Ghio, S., Bax, J. J., Gerritse, B., Hilpisch, K. E., Peterson, B. J., Feldman, D. S., & Abraham, W. T. (2010) · European Journal of Heart Failure · doi:10.1093/eurjhf/hfq009 · Cited by 125 · see citing works
Vatankulu, M. A., Göktekín, Ö., Kaya, M., Ayhan, S., Küçükdurmaz, Z., Sutton, R., & Henein, M. Y. (2009) · The American Journal of Cardiology · doi:10.1016/j.amjcard.2009.01.023 · Cited by 93 · see citing works
Fröhlich, G., Steffel, J., Hürlimann, D., Enseleit, F., Lüscher, T. F., Ruschitzka, F. T., Abraham, W. T., & Holzmeister, J. (2010) · European Heart Journal · doi:10.1093/eurheartj/ehq065 · Cited by 87 · see citing works
van Geldorp, I. E., Vernooy, K., Delhaas, T., Prins, M. H., Crijns, H. J. G. M., Prinzen, F. W., & Dijkman, B. (2009) · EP Europace · doi:10.1093/europace/eup378 · Cited by 87 · see citing works
Dąbrowska-Kugacka, A., Lewicka, E., Tybura, S., et al. (2009) · Circulation Journal · doi:10.1253/circj.cj-09-0084 · Cited by 45 · see citing works
Ghani, A., Delnoy, P. P. H. M., Ottervanger, J. P., et al. (2011) · EP Europace · doi:10.1093/europace/eur117 · Cited by 41 · see citing works
Dilaveris, P., Pantazis, A. A., Γιαννόπουλος, Γ., et al. (2006) · EP Europace · doi:10.1093/europace/eul015 · Cited by 31 · see citing works
Zhang, Q., Fang, F., Yip, G. W., Chan, J. Y., Shang, Q., Fung, J. W., Chan, A. K.-Y., Liang, Y.-J., & Yu, C. (2008) · American Heart Journal · doi:10.1016/j.ahj.2008.06.027 · Cited by 20 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Katritsis, D. G., Boriani, G., Cosio, F. G., Hindricks, G., Jaïs, P., Josephson, M. E., Keegan, R., Kim, Y.-H., Knight, B. P., Kuck, K.-H., et al. (2017) · Europace · doi:10.1093/europace/euw301 · Cited by 188 · see citing works
Self-citation
- Authors
- Hinojar, R., Pastor, A., & Cosio, F. G.
- Venue
- EP Europace
- Publisher
- Oxford University Press (OUP)
- Published
- 2013-06-19
- Volume
- 15
- Issue
- 9
- Pages
- 1272-1272
- ISSN
- 1099-5129 (ISSN-L)
- 1532-2092
- OpenAlex
- W2171672822
- Cited by
- 11
- References
- 12
- Citations by year
- 2025: 1 · 2023: 1 · 2017: 1 · 2016: 1 · 2015: 4 · 2014: 2 · 2013: 1
- FWCI
- 1.79
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- EP Europace (publishedVersion)
- PubMed (publishedVersion)
- ABACUS. Repositorio de Producción Científica (Universidad Europea) (submittedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac pacing and defibrillation studies
- Keywords
- Bachmann's bundle, left atrial flutter, low-voltage areas, left superior pulmonary vein, mitral stenosis, electroanatomical mapping
- MeSH terms
- Bundle-Branch Block, Electrocardiography, Heart Atria, Heart Conduction System, Humans, Terminology as Topic
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
