Fig 1. LBBP for LBBB with low LVEF. A- RAO view showing the target site for the lead placement – 1.5cm below distal His bundle (HB) along an imaginary line to RV apex (RVA). B – Non selective to selective LB capture as output reduced from 0.6V to 0.5 V. Note the distinct LB lead electrogram after the pacing spike while selective capture along with change in QRS morphology from QS to rSR in V1. C – Sheath angiography in LAO view showing the depth of the lead (LBP) inside the septum. D – Baseline ECG showing complete LBBB with QRS duration of 160ms. E- ECG after LBBP showing narrow QRS with T wave memory