topping out - reply

Thanks for the comments. I really appreciate the well informed and thoughtful reply. To answer your question, I use a maximum heart rate formula I found in a journal article online:http://www.ncbi.nlm.nih.gov/pubmed/11153730 The formula is 208 - .7 x age. I came up with 168.8 for myself. I am weighing the risks of surgery versus the benefits of more satisfying exercise and better overall fitness.

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It is just over 10 years since a dual lead device was implanted for complete heart block. It has worked perfectly and I have traveled well near two million miles internationally since then.