My husband had Anterior MI w/multiple cardiac arrests two years ago (comatose x1 week, on life support, sustained MOD, treated with hemodialysis for a month); Anoxic encephalopathy still a problem, with the short-term memory deficit.Also suffered ischemic colitis & GI hemorrhage, secondary to the MI. Anemic (last hgb 13). Has pulmonary hypertension with RVSP of 90, some tricuspid and mitral regurg. ICD/Pacemaker inserted in 2008 for fainting episodes with relief. Chronic but no acute CHF since late 2007. BNP was 60 (checked 10 days ago). Some of meds: Plavix, EC ASA 81 mg, Metoprolol XL, Benicar, Flomax, Lipitor, Lexapro, Vitamin, Folbee, Ferrous Sulfate.
NOW THE QUESTION. He is adamant that he wants to ride his bicycle. One doctor said that he can try it. The other one said that he shouldn't, because of cognitive and neuro deficits. I prefer that he NOT ride, as I am fearful that he will fall, and hurt himself, thus negating all the progress he has made so far. He did used to ride long distances of 50-100 miles, when he went out. Is there a way to have him evaluated from a cardiac and neuro standpoint, to find out if his balance IS okay and if his cardiac function is up to even a short ride, i.e., one block? He burst into tears a week ago because he wants so badly to ride his outdoor bike, not the stationery bike, and as a caregiver and nurse, this is really difficult. I appreciate your opinion.