Abstract
The admission electrocardiogram of an 88-year-old woman, showed sinus rhythm, biphasic P waves in leads II, III, with the terminal vector directed upward, P duration 130 msec, PR interval 200 msec, consistent with advanced inter-atrial block. Next, atrial bigeminy occurred originating in the left atrium and delaying the sinus P waves. With the ectopic P’ measuring 60 msec, the likely path of left atrial stimuli to delaying the sinus node was through Bachmann’s bundle, by retrograde conduction. This means that inter-atrial conduction via Bachmann bundle.
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