Question: Recently I got diagnosed with Incomplete RBBB and the doctor suggested me to do a 2D Echocardiography to find out if there is anything unusual. The results of 2D EchoCardiography is as follows: 1. Mildly dilated LV with good contracility. LVEF appears to be 55-60%. No regional wall motion abnormality seen. 2. Bicuspid aortic wall with eccentric opening. Mild thickening of the valves noted. 3. Normal size RV with Good Contractility. RA and LA are normal in size. 4. IAS and IVS appear intact. 5. No obvious clot seen. 6. No vegetarian or pericardial effusion. SPECTRAL AND COLOR DOPPLER STUDY: 1. Grade 1/111 AR with eccentric jet. 2. No significant gradient noted across aortic valve. 3. Normal flow across the cardiac valves. 4.No intracardiac shunt or regurgitation noticed. IMPRESSIONS: 1. Bicuspid aortic valve with eccentric opening. 2. Mild Grade 1/111 AR with eccentric jet. No significant gradient. 3. Mildly dilated LV with good contracility with LVEF of 55-60% 4. Normal RV with good contracility. 5 No clot/vegetarian/pericidial effusion. M-Mode measurements: 1. DE Amplitude 24.1 mm 2. EF SLOPE 124 mm/sec 3 EPSS 4.3 mm 4 Tricuspid Valve Normal 5 Pulmonary Valve EF Slope Normal a Wave Normal Systolic Notch Absent 6 Aortic Valve Structure Normal Closure Line Central Cuspal Opening 18.8 mm AO Root 31.8 mm 7 LA 41.4 mm 8 RVID(d) 22.6 mm LVID(d) 53.5 mm LVID(s) 38.0 mm IVS(d) 11.6 mm LVPW (d) 106 mm LVEF 55-60% Ultrasound of the Abdomen and pelvis suggested a Grade 1 Fatty Lever X-Ray chest PA View was Normal The following blood test has been done: VDRL: Non Reactive HIV 1-2 : Non Reactive Blood Sugar(Fasting/After Fasting): 90/109 Haemoglobin: 14.8 Please advice what can be done in this case. Can this case be treated with medicines.