In Cardiology Department the first case of successful ‘His bundle’ pacing with permanent pacemaker implantation in Andhra Pradesh by Dr. Chandra Mouli DM cardiologist & EP specialist & Dept of Cardiology. 60 yr old patient who resented with an idio junctional rythm and syncope. Pre-procedure QRS duration was 110 m sec which came down to 92 m sec post pacemaker implantation.