Accent Cardiac MRI Study

Inclusion Criteria * Have an approved indication per American College of Cardiology(ACC)/ American Heart Association(AHA)/ Heart Rhythm Society(HRS)/ European Society of Cardiology(ESC) guidelines for implantation of a pacemaker * Will receive a new dual chamber pacemaker and leads * Be willing to undergo an elective MRI scan without complete sedation, that is ,under consciousness during MRI scan * Be able to provide informed consent for study participation * Be willing and able to comply with the prescribed follow-up tests and schedule of evaluations * Is not contraindicated for an MRI scan (per the pre-MRI safety screening form) * Age≥18 years * Subjects must be able to undergo pectoral implantation Exclusion Criteria * Having an existing pacemaker or Implantable Cardioverter Defibrillator (ICD) .A new pacemaker and lead is required for enrollment * Permanent Atrial Fibrillation/Flutter * Are medically indicated for an MRI scan at the time of enrollment * Have an existing active implanted medical device, e.g. neurostimulator, infusion pump etc * Have a non-MRI compatible device or material implanted * Have a lead extender or adaptor * Be unable to fit in MRI bore; will come into contact with the magnet façade inside the MRI bore * Are currently participating in a clinical investigation that includes an active treatment arm * Are allergic to dexamethasone sodium phosphate(DSP) * Are pregnant or planning to become pregnant during the duration of the study * Have a life expectancy of less than 12 months due to any condition * Subjects with exclusion criteria required by local law (e.g. age) * Are unable to comply with the follow up schedule