Two years ago, on a family skiing trip to Colorado, Toby Wise was struggling to keep up.
Wise, 45, had always been in good health, played football in high school and played in a softball league and a flag football league as an adult. He worked out three to five days a week.
By May 2021, though, Wise had learned that his heart was enlarged and failing. He had a leaking mitral valve that doctors had been watching and an irregular heartbeat — atrial fibrillation.