In November, 2019, before surgery I had an echocardiogram. I had a St. Jude Pacemaker inplanted. It had two leads, one to the lower right chamber and the second to communicate to the upper chamber. I was placed on blood thinner. Upon return to the hospital in December, I was echocardiogramed again and cardioverted. In late Feburary I had one of my follow up medical appointments. I was removed from meds. I don't know why the doctor did not say anything before but during this visit he said the second echocardiogram revealed there was cardio myopathy. The left ventrical enlarged. Chances are doctors will have to remove the existing implant and install a new one with 3 leads. The cardiologist said I will probably be placed on medications again. I will have a 3rd echocardiogram tomorrow morning. Is it common to go from a 2 lead pacemaker to a 3 lead pace maker? All of this will take place in the shadow of covid 19 spreading.