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LBAP provides maximum physiological activation of the left ventricle by engaging the remaining bundle/fascicular fibers. LBAP is more physiological than old-fashioned RV apical tempo and might be an appealing substitute for conventional cardiac resynchronization treatment (CRT). The benefits of LBAP are a comparatively more simple implantation strategy than HBP, better lead stability and pacing thresholds. HBP and LBAP are mor