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    <title>33 year old driver from Tripura treated with Eastern India&#039;s first-ever Bachmann&#039;s Bundle Pacing</title>
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    <description>A combined Bachmann&#039;s Bundle (BB) Pacing and Left Bundle Branch Area Pacing (LBBAP) procedure was performed using a specialized catheter in the cardiac cath lab to deliver complete physiological pacing for a young patient with sick sinus syndrome, intermittent AV block and paroxysmal atrial fibrillation. The dual conduction system strategy aimed to preserve normal contraction patterns and mitigate complications linked to conventional right ventricular pacing, such as heart failure, atrial fibrillation progression and pacing-induced cardiomyopathy.</description>
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