In late 1921 Lenin's health deteriorated, he was absent from Moscow for even longer periods, and eventually had three strokes between 26 May 1922 and 10 March 1923, which caused paralysis, loss of speech and finally death on 21 January 1924. With Lenin increasingly sidelined throughout 1922, Stalin (elevated to the newly created position of the Central Committee General Secretary[33] earlier in the year), Zinoviev and Lev Kamenev[34] formed a troika (triumvirate) to ensure that Trotsky, publicly the number-two man in the country and Lenin's heir presumptive, would not succeed Lenin.
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