Originally Posted by
will dehne
Thanks for the warning.

My problem is finding a Competent Sports Doctor. The doctors I have seen follow your comment of Obese, Smoking and no idea of healthy living. However, I will try again. Perhaps there is a good one in this town with three major Hospitals.

My comment of jerky was an attempt to describe a hyper active feeling. High strung would be another description.
Will, I think you are being very wise to back off if you feel light-headed; it's a great example of listening to your body.
When I restarted cycling I was concerned about my heart, and she placed me in some stress-testing and imaging to assess it. Luckily no problems, but my family does have risk factors. I am cautioned to come back for re-assessment if I feel light-headed while exercising.
I think you might be too picky about needing to find a Competent Sports Doctor. I would suggest bringing the concern to your general practitioner and be sure you explain your level of capability. Ask if they are familiar with the norms for people in your situation, and that you are concerned that you might need to speak to someone who is. This would at least (for my med coverage, at least) get you covered to consult with a specialist.
My general practitioner surprised me - she was aware of the problem with heart rate predictors, and suggested lightheadedness as one criterion for setting a limit in practice. I don't really need to use MHR to set training, since I have taken a LTHR test.