The goal of this observational study is to learn more about whether or not the use of heart ultrasound during pacemaker implantation is helpful. The main questions this aims to answer are: 1. Does this help the doctors with figuring out the wire location during implantation? 2. Does this reduce the wire placement procedure time? 3. Does this reduce the x-ray imaging time during the procedure? Participants will be asked to: 1. Have a physical exam and Echocardiogram (ECG) at initial visit, 2 weeks post implant, and 3 months post implant. 2. Have a urine pregnancy test (if applicable) 3. Have a heart ultrasound during implant procedure 4. Answer questions related to heart failure symptoms to see what stage of heart failure is present 5. Have device interrogation (a wand placed over the chest to see that the device is working properly) at a visit 2 weeks post implant and at 3 months post implant.
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A Positive Success Rate of LBBAP Utilization With Intraprocedural Transthoracic Echocardiogram
Timeframe: Perioperative, through study completion, an average of 3 months
Difference of Fluoroscopy/Procedure Duration Between Groups
Timeframe: Perioperative
Number of Participants Determined to be Eligible for the Work-flow and Echocardiographic Procedures
Timeframe: Through study completion, an average of 3 months