Question: hello
i am a 50 yr old male with afib,rapid ventricular response. was cardioverted back to sinus 2 years ago. i have tried multiple medication finally going on nadalol. i have maintained good sinus and rate 58-65. i feel very good other than being tired working 10/12 hours a day i also have severe sleep apnea and have cpap. Up to the date of afib i led a large govt dept and worked 10-12 hours a day including weekend communication throughout the day. I have over 30 years of service so disability retirement is an option. i just cant maintain the hours and focus i once did. i dont want to risk changing medicine but the intent of afib maintenance is to reduce rate and anxiety/stress. i feel like i am still good but only 80% of what i was before the event. my job is basically 24/7 but because im not as active and working 10/12 hours a day i just cant keep up. from a medical perspective will i ever be 100% while being medicated. moving me to a lower level job is not an option due to my level. I feel i must consider disability but wanted to know if a doctor in a medical opinion would agree i would never be 100% due to my workload. i also only have 6 years to regular retirement but i dont see me lasting that long. its just too hard. i feel like a star athelete that just cant run as fast but its required to be on the team. any help in a medical opinion would help

Dr Shehu,
Appreciate your comments. I feel good like everyone else but the issue is endurance, I just cant work long hours. It sounds like I should be good. I feel the heart rate drop makes me sluggish. In fact I have hardly any adrenaline. After relations with my wife my pulse is only around 90 XXXXXXX I have measured it. I am 6-4, 290 pounds with a resting heart beat of 53. When moving its 63-65. Been active my whole life. Is it possible the medicine is keeping me calmer than I normally would? I just feel this is as good as it will get.

On the Psychologist side, I will look into.