chest pain

I have a medtronic adapta , am active and having symptoms of deep chest pain as I begin any walking. I am fine on my bicycle, and am a 100-150 mile per week rider, but any walking is very hard. I have had many visits for adjustment of rate and all parameters, but still have a 10-30 minute transition period of significant pain , recently including nausea. I have had every diagnostic procedure and have no blockage or coronary artery disease, just Sick Sinus Syndrome and a 1st degree block. Any ideas out there?
This is becoming a real pain.


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One week has passed and I must admit that each day I feel a little stronger.