A 74-year-old man with ischemic cardiomyopathy, right bundle branch block (RBBB), left anterior fascicular block (LAFB), and first-degree AV block underwent dual-chamber pacemaker implantation for symptomatic pauses and the need for beta-blocker therapy. His bundle pacing (HBP) was chosen to restore physiological activation and correct conduction disturbances. Successful non-selective HBP (NS-HBP) achieved complete correction of the baseline wide QRS. At lower outputs, a transition to selective HBP (S-HBP) occurred with loss of correction. The pacemaker was programmed to maintain constant NS-HBP. During long-term follow-up, the patient remained asymptomatic with stable electrical parameters and preserved conduction system capture. This case demonstrates that HBP can correct RBBB and LAFB, providing durable physiological pacing and conduction restoration in ischemic patients requiring pacemaker implantation.