I didn’t do my usual end of the year cycling report on this blog this year. I was having health issues that were bothersome enough that I just wasn’t motivated enough to do my usual cycling stats review. My issues started back in the spring, but didn’t seem to amount to much at that point. I was on the bike one morning when a line of storms came moving in much earlier than expected. I was making an all out effort on the bike to get myself home before the worst of the storm hit.
I’ve used a heart rate sensor when I ride for many years. Back in my days of long distance riding, with a considerable amount of high intensity riding mixed in, monitoring my heart rate was a big help in pacing myself, as well as keeping track of how I was doing in a high effort ride. So I still use one when I ride. On that stormy day in the spring, when I got a mile and a half or so from home, my heart rate display on my Garmin showed my heart rate quickly dropping from the 140’s to the 70’s. I knew that wasn’t correct. There was no way I could be putting out that kind of effort, and have my heart rate only in the 70’s. So, when I got home, I replaced the battery in the chest sensor I wear to give me those Garmin numbers.
But a couple of weeks later, the same scenario happened again, with me putting out a lot of effort to get home ahead of a storm, and my heart rate dropping into the 70’s again. This time, I assumed the sensor was bad, and swapped it with the one I use on my indoor bike. But it was only a few weeks before it happened again, and I was pretty much forced to concede that it wasn’t the sensors, it was me. Something about my heart beat was fooling the sensors. I’d had no physical symptoms during these rides, so wasn’t too concerned. But thinking about it, I decided that at 74 years of age, perhaps I had no business making extended maximum efforts on the bike any more. So I did a better job of staying closer to home on stormy days, and refrained from putting out that kind of extended effort again.
That served me well for the rest of the year, until Christmas week. That Monday, I was climbing the biggest hill on my outdoor route. Now mind you, even that hill doesn’t amount to very much. It’s a fairly flat outdoor route I ride. That hill isn’t steep at all, but it’s kind of long. It’s always the part of the ride that gets my heart rate the highest, always in the 130’s, and sometimes touching the low 140’s before I get over the hill. On that Monday, as my heart rate approached the upper 130’s, it suddenly dropped to the 70’s again. And this time, I felt light headed and nauseous, and my legs felt like Jello. As I topped the hill and continued soft pedaling, those feelings didn’t go away, so I stopped and put my feet down. Within 20 or 30 seconds, I felt fine, and my heart rate rose back up to what it should be, so I continued on.
But this also happened on rides Wednesday and Friday of that week. On the Friday ride, I went into the lowest gear my bike has, to climb the hill. And my bike is geared really low, a throwback to the days when I did serious hill climbing. I can pedal comfortably at 4 miles per hour. A fast walker could have passed me, going up that hill. But in spite of trying an easier effort up the hill, I still experienced the heart rate drop, and the same symptoms. I have not climbed that hill since. I had my annual checkup with my heart doctor coming up on January 7th, so I just settled for shorter, easier paced rides, and only two rides a week instead of three, until that appointment.
And by January, I had moved all my rides to my indoor bike. The weather had gotten chilly enough that it was time for that anyway, and my online virtual route is really flat. I never get my heart rate as high on it. But even on that route, I ended up experiencing the same heart rate drop and symptoms, and skipped all further rides until my doctor appointment. I brought up all this at that appointment, and my doctor had an EKG done that day, put a heart monitor on me for two weeks, and scheduled an echocardiogram for me. It was the EKG that really told the tale. It was obvious from it that I had electrical pathway problems with my heart. I made sure to put out enough effort on my bike while the heart monitor was on me to experience the drop in heart rate, and shortly after I sent the monitor back, the doctor called to schedule a stress test. I did the stress test on February 10th, with Dr. Phi Weign conducting it. He is the Director of the Cardiac Electrophysiology Lab at the Dallas VA Medical Center. The stress test plainly showed that I had missing and out of time electrical impulses that started happening when my heart rate hit 132.
I was sent home with a prescription for metoprolol, and instructions to check my blood pressure often, and log the results, then come back for a follow up appointment in one week. That was last Tuesday. Metoprolol is a beta blocker and standard first line treatment for heart electrical problems. Because I had never experienced symptoms at any time other than exercising, it was felt that this was the logical first step toward treatment. I logged my blood pressure, and did two short 20 mile easy pace rides on Wednesday and Thursday. But I almost passed out on both rides, and decided to do no further exercise before my next appointment.
But I didn’t even make it to that appointment without crashing and burning first. On Friday morning, I started feeling so bad shortly after Bobbi left for work, that I texted her and told her, and she came home and drove me to the VA hospital. When they saw my EKG in the emergency room, they immediately took me back to a room. The EKG that morning was the ugliest I’ve seen, with the impulses not shaped correctly, and both missing impulses and impulses too close together. Dr Weign came to my room and told me it was time for a pacemaker. It was hard for me to believe how quickly this heart electrical problem had escalated, but here I was. The pacemaker implanting is done as an outpatient procedure, and the plan was to send me home that evening after it was finished. That plan did not work out.
I was put on a twilight anesthetic, and with a blanket between my face and chest so I couldn’t see what was happening, the procedure started. I don’t remember much after that, and had to be told about it later. As soon as they started the incision to implant the pacemaker, my heart stopped. It took them four minutes to get it started again. I remember nothing of that, the crash cart being brought into the room, the 20 people or so who ended up there helping, or any of the other details. And I wasn’t released that evening, either. They kept me in the intensive care unit for another day, then released me yesterday evening. On the bright side, my EKG readings look very good now. I have been told to take it easy for a few weeks, and not do any lifting, then I can slowly start to ramp up my exercise again. Right now, I’m feeling like a Mac truck hit me, so taking it easy for a while won’t be a problem, I think. We’ll see how my recovery goes.
Back to the 2025 cycling stats, I ended up with 4,685 miles on the bike in 2025. That’s as close as I’ve been to a 5,000 mile year since I crashed and burned with COVID in 2020. This year is obviously off to a bad start for cycling miles, but I’ve hopefully survived another serious health challenge, and will slowly get back to my riding. We’ll see.