BIOTRONIK Conduction System Pacing With the Solia Lead - Solia CSP S

Inclusion Criteria:

• Patient is a candidate for implantation of a BIOTRONIK pacemaker system, perstandard guidelines. Single chamber, dual chamber, and CRT-P systems are allowed.

• Patient has an implant planned to utilize left bundle branch area (LBBA) pacingwithin 30 days of consent

• Patient is able to understand the nature of the study and provide written informedconsent

• Patient is available for follow-up visits on a regular basis for the expectedduration of follow-up

• Patient accepts Home Monitoring® concept

• Patient age is greater than or equal to 18 years at time of consent

Exclusion Criteria:

• Patient meets a standard contraindication for pacemaker system implant

• Patient is currently implanted with a pacemaker or ICD device

• Patient has had a previous unsuccessful attempt to place a lead in the LBBA

• Patient has planned cardiac surgical procedures or interventional measures within 3months after implant

• Patient is expected to receive a heart transplant within 12 months

• Patient life expectancy less than 12 months

• Patient has the presence of another life-threatening, underlying illness separatefrom their cardiac disorder

• Patient reports pregnancy at the time of enrollment

• Patient is enrolled in any other investigational cardiac clinical study during thecourse of the study