I am 69 years old and had a mitral valve repair last September, immediately following which I was in atrial fibrillation and given Amiodarone and Warfarin. This has now settled and I now have first degree heart block and am doing a cardiac rehab programme. My resting heart rate is 80 and my target exercise range is 101 - 113 but it only goes up to 98 during exercise (15 on Borg scale). Can you suggest what is causing this and what the implications / remedies may be.
Many thanks, R