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Cardiac resynchronization therapy (CRT) improves outcomes in patients with left bundle branch block (LBBB) and heart failure but is no better than native conduction with a narrow QRS. Thus, His bundle pacing, which might allow native conduction to the left bundle, was exciting when introduced several years ago. However, time has tempered that excitement due to frequent difficulties in pacing the His bundle, infra-Hisian block (making His bundle pacing ineffective), and long-term durability of the lead parameters. Recently, LBB pacing (LBBP) has emerged as a simpler and more dependable technique than His-bundle pacing because LBBB uses a more ventricular pacing location and perhaps requires less precision in lead placement. In a large observ…