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Left bundle branch pacing from distal His-bundle region by tricuspid valve annulus angiography.

A 78-year-old man presenting with amaurosis was admitted to the outpatient clinic 1 week ago. His baseline electrocardiogram showed Mobitz type II atrioventricular block and right bundle branch block. The patient's heart rate from Holter was only 32 bpm and therefore the indication for pacemaker implantation.

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