Evidence map›Paper›PMID 42015411›Full record

ArticleJournal of cardiovascular electrophysiology2026

First Pediatric Application of Bachmann's Bundle Pacing and Left Bundle Branch Area Pacing for Bi-Physiologic Conduction System Pacing.

Hei-To Leung, Sabrina Tsao, Samuel Chung-Sum Ho, Kwok-Lap Chan, Yiu-Fai Cheung, Sit-Yee Kwok

Abstract readCase Reports
In one paragraph

Article in Journal of cardiovascular electrophysiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Hei-To LeungDepartment of Paediatrics and Adolescent Medicine, Hong Kong Children's Hospital, Kowloon Bay, Hong Kong.ORCID 0009-0001-7272-5145
Sabrina TsaoDepartment of Paediatrics and Adolescent Medicine, Hong Kong Children's Hospital, Kowloon Bay, Hong Kong.ORCID 0000-0002-6967-6012
Samuel Chung-Sum HoDepartment of Paediatrics and Adolescent Medicine, Hong Kong Children's Hospital, Kowloon Bay, Hong Kong.ORCID 0000-0001-8963-6168
Kwok-Lap ChanDepartment of Paediatrics and Adolescent Medicine, Hong Kong Children's Hospital, Kowloon Bay, Hong Kong.ORCID 0000-0003-0232-2161
Yiu-Fai CheungDepartment of Paediatrics and Adolescent Medicine, Hong Kong Children's Hospital, Kowloon Bay, Hong Kong.ORCID 0000-0002-7279-4992
Sit-Yee KwokDepartment of Paediatrics and Adolescent Medicine, Hong Kong Children's Hospital, Kowloon Bay, Hong Kong.ORCID 0000-0001-8149-8004

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtrial pacing at right atrial appendage causes nonphysiologic delays. Bachmann's bundle (BB) pacing preserves synchrony but lacks pediatric data. CASE SUMMARY: We report the first pediatric combined BB and left bundle branch area pacing in a 9-year-old boy (23.5 kg). With electrophysiologic and echocardiographic guidance, successful BB capture was achieved on a thin 2.1 mm atrial septum. Pacing significantly shortened P-wave duration (122-> 66 ms) and reduced interatrial mechanical delay (53-> 40 ms) on speckle-tracking echocardiography.

conclusionThis case demonstrates the acute success of BB pacing in a child. Bi-physiologic pacing is technically feasible and safe, though long-term outcomes warrant further evaluation.

Indexed as

Bundle of HisCardiac Pacing, ArtificialHeart BlockHeart RateAction PotentialsChildElectrocardiographyElectrophysiologic Techniques, CardiacHumansMaleTreatment Outcomeatrial resynchronizationBachmann's bundle pacingconduction system pacingcongenital complete heart blockpediatric pacingphysiological pacing

Identifiers

PMID42015411
PMCPMC13182194

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.