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This case report is kindly provided by Dr. Alberto Giniger from the ICBA and is part of the ICBA case reports
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Sinus rythm, 2:1 AV block with RBBB in the left part of the EKG and after a 1:1 conducted beat with LBBB the 2:1 AV block continues with LBBB. So it is a bilateral branch block.