Mostly good news
The reason I had a quick appt is that GP had ticked chest pains on the referral.
Nurse did ecg again - and asked me loads of questions about lifestyle and when the pain comes on. Said I had a soft systolic murmur - couldn't get me an echo slot today.
Her prognosis was mainly positive - but she said I wouldn't be able to all what I did (cycling and gym) if there was a significant heart problem. I always hate this because IMO cycling raises your pain threshold - therefore you push through when it hurts - I have asthma so getting of breath does happen on the hills .
Echo in due course.
Obviously more investigation is needed, but considering the possible things it could have been, it really doesn't sound too bad at all at this stage. I remember being told (by whom I can't remember, but it was a medical person during my own heart treatment) that a surprisingly large number of people have various murmurs and arrhythmias and they have no real effect.
As for cycling and gym, that will obviously depend on the full diagnosis and I guess it's probably wise to ease off a bit while you're waiting for that, but it might not have any long-term effect at all.
I had a heart attack leading to a quadruple bypass 12 years ago, which left me with an occasional arrhythmia - which I can sometimes feel as a kind of flutter. And when I wanted to join my local gym in January, I had to get clearance from my doc first.
He strongly supports my cycling and gym use - it probably helps that he's a cyclist, and the gym is used quite a bit for cardiac rehab. I do keep an eye on my HR (I wear a fitbit watch, which isn't as good as a chest monitor, but it's good enough for seeing relative levels) and he reckons that's a good thing to do - but he sees no reason why I should restrict my cycling at all.
As for the "push through when it hurts" thing, just don't push through chest pain!