Cyclists often worry about physical dangers, but there’s an unseen risk that’s far more common: heart problems, especially as we age. While only about 40 people reported shark attacks in 2024, many more experienced heart issues. This risk can quietly sneak up on you, much like a shark lurking beneath the surface.
Take my story, for instance. As an author and lifelong cyclist, I never thought I’d face such a challenge. Having cycled for decades and competed in various races, I felt confident in my fitness. But by the end of 2024, I was feeling unusually tired and my commute was a struggle. Climbing stairs left me winded, and standing up quickly made me feel faint.
It wasn’t until my wife took my blood pressure and found it alarmingly low that I took these symptoms seriously. After several tests, I learned I had Mobitz type-two heart block, which affects how electrical signals travel from the heart’s upper to its lower chambers. The readings showed my heart was beating erratically, at times dropping to a dangerous 24 beats per minute.
Years ago, people with such a condition would have been advised to rest and prepare for the worst. Fortunately, medical advancements have changed that perspective. Today, issues like mine can often be managed effectively. After a brief hospitalization, I had a pacemaker fitted, providing my heart with a steady rhythm once more.
What’s vital for middle-aged cyclists to know is how common heart issues are. Research indicates that atrial fibrillation (AF), a condition characterized by irregular heartbeats, is more prevalent among endurance athletes—five times more so than among non-athletes. Dr. Nigel Stephens, a cardiologist, states that around 5-10% of long-term endurance athletes may experience AF, highlighting a significant health concern for those of us dedicated to intense physical activity.
Interestingly, recent studies reveal that even moderate alcohol consumption can increase the risk of AF in older athletes. It’s not just about exercise; lifestyle choices play a crucial role in heart health, and moderation is key. As Dr. Stephens points out, overtraining without sufficient recovery can compound health risks. With many life stresses—like work and lack of sleep—a balance is essential.
Listening to our bodies becomes increasingly important as we age. Any change in our usual performance, like fatigue or unusual heart rates, shouldn’t be ignored. These symptoms often serve as warnings. If you notice anything unusual, don’t hesitate to seek medical attention.
As I continue my journey back to cycling, aided by regular check-ups and my pacemaker, I’ve realized that fitness isn’t a barrier against health issues; it’s a tool to help us recognize changes in our bodies. A shark may always circle, but with awareness and timely response, we can navigate the waters safely.
In conclusion, my encounter with heart issues has taught me the importance of listening to my body and prioritizing health. For those of us who ride, being proactive can make all the difference as we age, allowing us to enjoy our passion for cycling for years to come.

