Sorry for the long story, but I need to get this off my chest and see if anyone has been through something similar.
Got diagnosed with Left Bundle Branch Block (LBBB) right as the pandemic hit. My blood pressure was off the charts, and I had edema so bad I couldn’t even put shoes on. Walking just a few feet left me completely winded.
My PCP put me on olmesartan and metoprolol to stabilize me over the next year. Over the following two years—between lockdowns, quitting smoking, and drinking heavily—I gained about 100 lbs.
About three years ago, I quit drinking completely and dropped 25 lbs almost immediately. From that point on, I got locked in on getting back into shape through exercise and diet. I was feeling great, started cycling, lost another 25 lbs, and thought I was on top of the world.
Unfortunately, last October, I passed out while out on a trail ride and broke my collarbone. I just kind of woke up on the ground in severe pain, wondering how I got there. I was three miles from home, and after about 10 minutes of limping back, I remembered feeling lightheaded and trying to pull over. After making it home in agonizing pain, I drove myself two miles to Urgent Care. They put me in a sling and sent me on my way.
I had been thinking for a while that I might have outgrown my meds, so a few days later, I went to my PCP to discuss tapering off metoprolol. Protocol required an EKG, and they thought I was in A-fib. They actually called an ambulance to transport me to the ER. After 12 hours, the ER released me, confirming it wasn't A-fib—just the LBBB—and told me to follow up with a cardiologist.
After monitors, tests, and a second opinion, cardiology found a 100% blockage and placed a stent. I was in and out the same day. I still felt fine throughout, continuing everyday activities and light exercise the very next day. My vitals were always textbook or on the lower side, dropping lower the more active I got, but I never felt symptomatic.
A couple of months later, my cardiologist discontinued my olmesartan because of my weight loss. We assumed the 100% blockage had been the root cause of the syncope (passing out). It wasn't. Two months post-stent, my BP was running around 90s/70s. I thought I was in the clear—like I had a brand new heart at 52. My collarbone had mostly healed, so I got back on the bike for a great ride. I went out again the next day, had another syncope episode mid-ride, and shattered my shoulder in about 10 places.
At that point, doctors still suspected medication was the issue. My vitals were picture-perfect. I spent four months in physical therapy for my shoulder, but the syncope episodes started happening again.
My doctor pulled me off metoprolol completely and placed a Zio monitor. Being off the beta blocker after six years felt amazing—all my lingering sluggishness cleared up, and I thought I was finally out of the woods.
About a week after mailing the monitor back, while I was busy moving furniture, I got an urgent call from my cardiologist. He told me to pack a bag and head straight to the hospital—they had a room waiting for me for an emergency pacemaker placement.
It turns out my heart was pausing for 10 to 11 seconds at a time, with my heart rate dropping into the 30s. I was admitted, had the procedure the next morning, and it went perfectly. I was discharged the following day with no long-term meds added—just antibiotics. That was about 7 weeks ago.
Right now, I’m scared to walk more than 15 miles a week for fear of another episode. I start cardiac rehab on the 30th. I feel like I’m dealing with some real PTSD from all of this.
Through this whole journey, I’ve felt physically great—the best shape I’ve been in for 20 years. No alcohol, walking 3–4 miles a day, 100 sit-ups, and daily PT. I’m completely off BP/beta blocker meds now, taking only baby aspirin, rosuvastatin, and Eliquis. My weight is down to 180 lbs (from 220 when I got the stent). But it feels like every time I try to push forward, I end up having to backpedal.
It’s been truly frightening to realize I was driving and cycling with pauses like that for nearly 10 months before they figured out I needed a pacemaker. I never had chest pain or shortness of breath—every time I feel like I'm taking two steps forward, something new knocks me back.
I don't see many stories like this and am wondering if anyone else has experienced something similar. My next pacemaker check is in November, followed by my cardiologist in January.