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A 59-year-old man presented with giddiness, shortness of breath and lethargy in 2011. ECG showed complete heart block, which necessitated temporary pacing. Echocardiography revealed no regional wall motion abnormality and normal systolic ejection fraction. His cardiovascular risk factors were type 2 diabetes mellitus and hypertension. Subsequently, a dual-chamber pacemaker was implanted with direct puncture of the left subclavian …
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