Introduction
Physiological pacing has witnessed a rapid growth in the last decade.
His bundle pacing (HBP) provides electrical and mechanical synchrony but
limited by high pacing thresholds and lead revisions1.
Left bundle branch pacing (LBBP) has recently been shown to be a
promising alternative to HBP. Several criteria for left bundle capture
have been proposed2, but needs to be validated. We
describe premature ventricular complex (PVC) guided lead implantation as
a novel approach to perform LBBP.