RecruitingNCT07360067

Prospective Cohort Study of Bachmann Bundle Versus Right Atrial Appendage Pacing: Impact on Atrial Cardiomyopathy Evaluated by Echocardiographic Parameters and Clinical Outcome


Sponsor

Samsung Medical Center

Enrollment

200 participants

Start Date

Dec 9, 2025

Study Type

OBSERVATIONAL

Conditions

Summary

The goal of this observational study is to evaluate the impact of different atrial pacing sites-Bachmann's bundle pacing versus right atrial appendage pacing-on the development and progression of atrial cardiomyopathy in patients diagnosed with sick sinus syndrome who are undergoing permanent pacemaker implantation.


Eligibility

Min Age: 19 Years

Inclusion Criteria3

  • Patients aged 19 years or older
  • Patients diagnosed with sick sinus syndrome who are scheduled for de novo implantation of a permanent pacemaker or permanent implantable cardioverter-defibrillator
  • Patients or their legal representatives who voluntarily consent to the access of medical records and study data throughout the entire research period

Exclusion Criteria4

  • Patients with persistent or permanent AF
  • Patients with a life expectancy of less than one year due to other comorbidities
  • Pregnant or breastfeeding women
  • Patients who refuse active treatment

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Interventions

PROCEDURERight Atrial Appendage Pacing

Atrial lead positioned in the right atrial appendage

PROCEDUREBachmann Bundle Pacing

Atrial lead positioned in the bachmann bundle branch


Locations(1)

Samsung Medical Center

Seoul, Seoul, South Korea

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NCT07360067


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