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Various animal and human studies have shown pacing near the right atrial insertion of BB to have a beneficial effect in patients with interatrial conduction delay and atrial tachyarrhythmias. This mode of atrial septal pacing is convenient, safe, reliable, and clinically as effective as multisite pacing. Conclusion: This article is an effort to define the special properties of BB and its possible role in prevention of atrial fibrillation by permanent pacemakers.

Abstract Background: Cardiac anatomists have known the presence of a group of specialized fibers connecting the right and left atrium for years.