I feel fine. I never had any symptoms( at least not recently)but within 6 months my Atrial pacing percentage shot to 53% and my ventricular pacing percentage shot to 22.9%. I suspect I have a intra hisian delay as my MVP mode switches are exceptionally long — 440ms during the night and 340 ms during the day. I am a retired NP so I have some understanding of what’s going on. Additionally, I have uploaded my Medtronic auto download reports to various AI platforms and so have a much deeper understanding of these reports, which are pretty complex. My electrophysiologist is very good but since the incidence of HCM is 1 in 500( not that rare) and those that require pacemakers represent 10-12% or 1 in 5,000 we’re talking about a relatively rare group. Almost all of those HCM patients with pacemakers have single level conduction disorders, that makes my condition vanishingly small. All of the AI platforms including Chat GPT ( which I have a subscription ), Claude, Gemini, and Copilot agree my case would be very interesting to Mayo. I will wait for my next Medtronic auto download and echocardiogram scheduled for 1 October. If they both demonstrate progression I will ask for a referral. My case is further complicated by my very vigorous fitness regimen which has really increased my Vagal tone. I always had problems with upright exercises ( Nordic Track, Elliptical) causing dyspnea but tolerate a water rower very well, probably because of increased preload and reduced afterload. Anyway, all these factors plus my age of 74 make my case unusual. However, I understand that since Mayo is a high volume HCM center they may have encountered a similar patient.