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Given her specific cardiac history, pacemaker interrogation was ordered which revealed her pacemaker mode changed from DDDR to VVI. She underwent pacemaker battery exchange with complete resolution in her symptoms and ability to return to prior functional status. Overall, dyspnoea in centenarians could be multifactorial. Pacemaker elective replacement mode secondary to end of life battery can present as non-specific cardio respiratory symptoms. As the pacemaker population ages to the survival beyond the battery life, pacemaker aetiology behind heart failure symptoms needs to be highly considered by medical providers.<\/jats:p>","DOI":"10.1136\/bcr-2020-236291","type":"journal-article","created":{"date-parts":[[2020,11,23]],"date-time":"2020-11-23T15:57:59Z","timestamp":1606147079000},"page":"e236291","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Pacemaker generator replacement as a key to the puzzle of dyspnoea in a community dwelling centenarian"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6150-4972","authenticated-orcid":false,"given":"Tyler","family":"Schmidt","sequence":"first","affiliation":[{"name":"Internal Medicine, Mayo Clinic Rochester, Rochester, Minnesota, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Harmon","sequence":"additional","affiliation":[{"name":"Internal Medicine, Mayo Clinic Rochester, Rochester, Minnesota, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandeep","family":"Pagali","sequence":"additional","affiliation":[{"name":"Geriatric Medicine, Mayo Clinic Rochester, Rochester, Minnesota, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,11,23]]},"reference":[{"key":"2025082711482463000_13.11.e236291.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(97)00085-4"},{"key":"2025082711482463000_13.11.e236291.2","first-page":"3","volume-title":"Proceedings of the eighth annual International Conference on medical and biological engineering","volume":"29","author":"Mitsui","year":"1969"},{"key":"2025082711482463000_13.11.e236291.3","doi-asserted-by":"crossref","first-page":"1742","DOI":"10.1111\/j.1540-8159.1990.tb06883.x","article-title":"True incidence of pacemaker syndrome","volume":"13","author":"Heldman","year":"1990","journal-title":"Pacing Clin Electrophysiol"},{"key":"2025082711482463000_13.11.e236291.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(94)90347-6"},{"key":"2025082711482463000_13.11.e236291.5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.1994.tb03760.x"},{"key":"2025082711482463000_13.11.e236291.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2003.10.072"},{"key":"2025082711482463000_13.11.e236291.7","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200005113421902"},{"key":"2025082711482463000_13.11.e236291.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(10)80186-X"},{"key":"2025082711482463000_13.11.e236291.9","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.67.1.57"},{"key":"2025082711482463000_13.11.e236291.10","unstructured":"Singh S . 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