Hi there Crusty & Ian,
Yabba dabba doe I’m reborn!!!
I managed to consult another cardiologist and laid down my casus to him verbally knowing that before I was allowed in his office he had already absorbed all details etc. I hoped.
Explained to him that when cycling my PM blocked further activities when coming into the 145 BPM zone.Also the pace was exceptionally slow!The upper limit was 170 BPM.
Very frustating for a high level experienced cyclist especially when other less trained cyclists were overtaking me and that I couldn’t even manage slight ascents……..I asked him that I wanted a static bike test to confirm that it had everything to do with the ‘off settings ‘of the PM.
He fully agreed that a bike test would take away any doubts etc. because my heart & valves/bloodpressure are excellent.
A week thereafter I was in the hospital on the bike together with the PM rep. & sports cardiologist and told them when reaching the 145 BPM zone the legs would refuse further action and voila it happened before there own eyes staring at the pc screen.
Took off to another room – the PM rep. adjusted the upper limit from 170 >200 BPM. Sounds too far off but was done as a safety catch because my second test I had to go through all barriers 187 BPM to see whether all adjustments were in place- the upper limit stays on a 200 setpoint due to my unpredicted “ demarrages “!He also tweaked the “pace “ faster.To summarize the PM was still in its ‘ factory settings’ so to speak except for the BPM limits that were put in after 3wks. after ops.
The following day was a revelation- I took off like a rocket to Mars and maintained a good steady pace.
Thanks for your advive Crusty.