Well two years ago I found out I CHF (congestive heart failure) with an EF (ejection fraction, amount of blood pumped out of heart during one beet) of 15% normal being around 60%. My PCP likes to say I'm a heathy 63 just with a BAD heart. My heart doc just shakes her head and wonders how I can do what I do with so little. Currently I'm class 1 meaning while I have CHF I currently don't have any symptoms. Me... I just ride slower, lower my sodium intake, take my pills and live day to day. I truly believe that if I still lived in Maine I would be in MUCH worse shape. But, by moving to FL a few years ago I am able to get out more. Last year mine wife and I visited all over the states and Canada via our small motorhome and logged over 7000 miles on our bikes. So I second the moving to a warmer climate. As they say, pack the snow shovel and drive south long enough that no one knows what it is.