An octogenarian had a single-chamber ventricular pacemaker implanted. During follow-up 5 years later, he presented with dizziness and shortness of breath, as he had before the implant. It was no longer possible to interrogate the pacemaker, and no spike was present on the electrocardiogram. It was assumed that the pacemaker battery was completely exhausted. It was decided not to re-intervene because of the frail general condition and associated comorbidities. We decided to implant a new pacemaker (Figure 1). After the second implant, the symptoms disappeared, and no conflict of function between the new and the old implant appeared.
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