I'm soliciting others experience or opinions.
Recently I visited my Dr. to investigate a mild but persistent fatigue I'd been experiencing for 6+ months. I was concerned there might be some cancer developing or something. During the exam they gave me an EKG. As a very active cyclist, I've always had a low heart rate, but it was 32bpm, way slow even for me. And there was a crazy arrhythmia between the p-wave (atrial contraction?) and r-wave (ventricular contraction?).
Subsequently, I went to a cardiologist, wore a monitor for 24 hours, had a stress test, heart sonogram(?), etc. The diagnosis was a moderate heart block, i.e. interference between the electrical signal for atrial contraction and ventricular contraction. But, when the atrium doesn't contract, eventually the ventricle contracts anyway. Long story short, it works and it's not a critical health risk at this time. On the other hand, my heart isn't circulating blood at a normal rate while at rest. It's probably about 30% low. Based on the diagnosis, the cardiologist feels like I don't have to have a pacemaker, but could install one to maintain a higher resting heart rate. And he thinks that improving the volume of blood circulation at rest couldn't help but improve the fatigue and well-being issues I've been experiencing.
Under the circumstances, the cardiologist won't strongly recommend a course of action. We could wait and monitor the condition year to year, or go ahead and install the pacemaker. It will probably need to be done eventually in any case.
So, we get to my question. I'm not totally comfortable with the pacemaker if I don't have to have it, but I will probably need one eventually. Reduced fatigue is always a good thing, but there are no guarantees about that. I've tentatively said I want to go ahead, but still have time to back out. Do any of you have personal experience? In any case, I'd like to hear your thoughts.