Adjusting Isn't What I Thought It Would Be
Background: Hip replacement Jan 5, 2021. Double lead Pacemaker April 15. 2021. 76 year old Male, Hamilton, MA. 2nd degree arterioventricular block.
I had been trying to get back to normal after my January hip replacement and was working out and doing yoga. No symptoms from that at all. When the weather broke here, I thought I do some cycling. Bear in mind I had zero symptoms that I noticed up to this point. maybe a little winded doing yard work which I attributed to being inactive before and after the hip procedure. My short bike ride (1.8 miles) involved a couple of hills which I should have done without any trouble at all. I was totally wasted. When I got home, my wife (a nurse) took my pulse, made a face, called our PCP and was told to go to the ER. Symptoms: erratic heart rate. from 34 to 88 and back again. Curiously when I calmed down a bit the next, my heart went into sinus rhythm. I was hooked up and awaiting a stress test when the cardiologist came in and looked at the monitor. He said "Sinus, no problem. Let's do the test." When I stood up, my heart went immediately into second degree block. The cardio cancelled the test.
Now I am one week post op. Heart rate has been checked and back to sinus. When seated I am fine. When I walk around the park across the street I get light-headed. It is an odd feeling and not what I expected. My question: Is this a simple matter of adjusting to the PM? I am out of shape? Is there something else that might be going on? I appreciate your thoughts in advance.