After lung surgery in December 2019 low level arrhythmias were made worse. Now cardiologist is recommending pacemaker. I have bradycardia and atrial tachycardia and bouts of atrial fibrillation. I am asymptomatic other than feeling the abnormal beats and pauses , sort of freaky waiting for next heartbeat! Dr believes that I am at high risk for trauma and bleed if I fall off my horses or horses fall with me as I am on Eliquis. So Dr goal is rather than wait til I have symptoms, do pacemaker now to avoid situa9where get dizzy or pass out and fall from horse. I ride and compete with upper level jumping horses ,so alot of speed and movement involved. The issues I am struggling with are not getting clear answer as to when I might get symptoms, I do understand that may not be predictable. Also no straight answer for continuing my riding at same level without lead damage. Lots of repetitive movements, sometimes 1500 pound animals yanking that arm and need for full range of motion . I have read about leadless pacemaker but they are fairly new.
Welcome input on strenuous activities and also the leadless possibility