Altogether i copd, aortic valve insufficiency, bradycardia, and sick sinus syndrome with repaired right coronary anomaly what can i expect?

Multiple problems: You COPD and aortic valvular insufficiency could worsen in future and you could feel more shortness of breath and in long run could develop heart failure from these. Repaired right coronary anomalies could get anastmotic stenosis in long run. Sick sinus and bradycardia- you need a pace maker. If you have one, need regular device checks. Need periodic follow-up with cardiologist/pulmonologist, pcp.

Pacemaker: If you have symptoms, the cardiologist after proper eval can opt for pacer. The COPD causes an effect of pulm hypertension which taxes the right heart. Bradycardia can cause CHF and in combination can cause fainting or syncope. These treatments are tailored to your symptoms and your need. Have a good follow up with all your doctors and discuss the medications well and their side effects.