Should i have acdf c4-7 surgery? had ekg readout says sinus brady, possible lft atrial enlarge and incomplete rt bundle branch block. forgot to mention fatigue and heart palp on exertion as i don't do it much. did mention chest pain from a month ago?

You should be evaluated and cleared by a cardiologist pre-op. Based on your EKG reading, an echocardiogram for ruling out valvular heart disease and pulmonary hypertension needs to be done in the meantime. Anesthesiologist will likely request cardiac clearance based on your symptoms and abnormal EKG findings.

Definitely, place the neck surgery on hold. General anesthesia should not be used until your cardiac status is stable. See a cardiologist and undergo a complete and thorough evaluation. If necessary, commence appropriate therapy. Your ACDF can wait.