19/08/2026
Singer Alison Wheeler was no stranger to long performances and overnight travel. When her stamina began to decline, a heart rate of 32 beats per minute led to an unexpected diagnosis.
The UK singer and musician had spent years experiencing shortness of breath, fatigue and longer recovery times after activities that once felt routine. Although she worked hard to stay healthy through exercise and daily walks, she initially attributed the symptoms to perimenopause and midlife changes.
Everything changed when her fitness tracker showed her resting heart rate had fallen to 32 beats per minute. At 54 years old, an ECG revealed Alison had heart block, a condition that disrupts the electrical signals that control the heartbeat.
Looking for a second opinion, Alison turned to consultant interventional cardiologist Dr Asif Qasim at Cleveland Clinic London.
After confirming the diagnosis, Dr Qasim referred Alison to consultant cardiologist Professor Christopher Aldo Rinaldi. Concerned by how low her heart rate had become, the team recommended a pacemaker to restore her heart's normal rhythm.
Professor Rinaldi says while most people who need a pacemaker are older than Alison, heart block can sometimes develop in younger adults as well. Although some people can live with a very low heart rate for years, like Alison, they can struggle when they exert themselves.
Professor Rinaldi implanted the pacemaker in January, and Alison says she noticed a difference almost immediately.
"I am definitely doing better. Before the operation, my family used to joke I was always huffing and puffing, but I didn't even realize I was doing it," Alison says. "My body was constantly reaching for air. They said it sounded like I was sighing all the time.”
Today, Alison is back to exercising, weight training, walking her dog and, most importantly, performing again.
"I've had many people, mostly women, reach out to me because they're frustrated they're experiencing similar symptoms but aren't getting answers," she says. "Like me, many initially assumed it was menopause. I encourage them to keep advocating for themselves and ask whether an ECG might be appropriate, because help is available."
More: https://cle.clinic/4hHZRzL