@narrowqrs @seshadribalaji6 @bradley_c_clark @shaunmohan4 @kennethellenbo1 @drrodericktung @ejsmd @seth_j_worley just to close the loop on this, it looks quite “good” on cxr so my guess is cardiac rotation was not appreciated at implant. however pacing site is quite far from the  lead (on rv free wall) so biv with appropriate savd does narrow the qrs somewhat. clinical response tbd.