concerns about his health. In May 2005 the Vatican announced that he had suffered another mild stroke. French cardinal Philippe Barbarin said that since the first stroke Ratzinger had been suffering from an age-related heart condition, for which he was on medication. In late November 2006 Vatican insiders told the international press that the Pope had had a routine examination of the heart. A few days later an unconfirmed rumour emerged that Benedict had undergone an operation in preparation for an eventual bypass operation, but this rumour was only published by a small left-wing Italian newspaper and was never confirmed by any Vatican insider. On 17 July 2009, Benedict was hospitalized after falling and breaking his right wrist while on vacation in the Alps; his injuries were reported to be minor. Following the announcement of his resignation, the Vatican revealed that Benedict had been fitted with a pacemaker while he was still a cardinal, before his election as pope in 2005. The battery in the pacemaker had been replaced three months earlier, a routine procedure, but that did not influence his decision. Resignation On 11 February 2013, the Vatican confirmed that Benedict would resign the papacy on 28 February 2013, as a result of his advanced age, becoming the first pope to resign since Gregory XII in 1415. At the age of 85 years and 318 days on the effective date of his retirement, he was the fourth-oldest person to hold the office of pope. The move was unexpected, as all popes in modern times had held office until death. Benedict was the first pope to resign without external pressure since Celestine V in 1294. In his declaration of 10 February 2013, Benedict resigned as "Bishop of Rome, Successor of Saint Peter". In a statement, he cited his deteriorating strength and the physical and mental demands of the papacy; addressing his cardinals in Latin, he gave a brief statement announcing his resignation. He also declared that he would continue to serve the Church "through a life dedicated to prayer". According to a statement from the Vatican, the timing of the resignation was not caused by any specific illness but was to "avoid that exhausting rush of Easter engagements". After two weeks of ceremonial farewells, the Pope left office at the appointed time and sede vacante was declared. Benedict was succeeded by Cardinal Jorge Mario Bergoglio, who took the papal name