After having no issues for 20 years Dr. Prof. Salzberg noticed the patient had developed atrial fibrillation. After suffering from a syncope we implanted a reveal, that's an event recorder, that controls the puls. Thanks to this recorder we could see, that the patient's heart made pauses from time to time. So we decided to implant a pacemaker. This happened yesterday with local anaesthia and today he can already live the clinic.