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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diabetic, Diagnosed With Right Bundle Branch Block. Never Had Chest Pain, Hypertension And Asthma. Cause?

Doctor,I'm 67 years old Male diagnosed today as Complete RBBB,based on my routine ECG(Asymptomatic).Please advise me if I need any further investigations/treatment.I am a Type-II Diabetic for the last 10 years on OHA's well under good glycemic control.I never suffered with Chest Pain/Hypertension/Asthma/COPD etc in the Past.I do 1 hour of Both Strenght training aqnd Cardio workout every day for the last 6 years.
Awaiting your Valuable Opinion.
Tue, 17 Sep 2013
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General & Family Physician,  's  Response
Hello,
Thanks for the query to H.C.M. Forum.
Since you are an athlete so let me explain what is Right Bundle Branch Block ( R B B B ).
I am sorry to say ,but I will try to explain you as,
A defect in the electrical conduction system of the heart , characterized by the IMPAIRED transmission or absence of transmission of electric impulses from the atrioventricular ( A V ) node, bundle of His to the right ventricle.
Note down please the block may be COMPLETE or INCOMPLETE and may bbe caused by a lesion in the right bundle branch or a small focal lesion in the A V bundle.
In the young below 40years associated with right ventricular Hypertrophy.
In the older individuals, R B B B is commonly caused by coronary artery disease. A complete R B B B commonly occurs after certain surgical process.
In my opinion you don't have complete R B B B , but may have partial so no treatment required , if any discomfort get a treatment . Good luck. Dr,HET
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Diabetic, Diagnosed With Right Bundle Branch Block. Never Had Chest Pain, Hypertension And Asthma. Cause?

Hello, Thanks for the query to H.C.M. Forum. Since you are an athlete so let me explain what is Right Bundle Branch Block ( R B B B ). I am sorry to say ,but I will try to explain you as, A defect in the electrical conduction system of the heart , characterized by the IMPAIRED transmission or absence of transmission of electric impulses from the atrioventricular ( A V ) node, bundle of His to the right ventricle. Note down please the block may be COMPLETE or INCOMPLETE and may bbe caused by a lesion in the right bundle branch or a small focal lesion in the A V bundle. In the young below 40years associated with right ventricular Hypertrophy. In the older individuals, R B B B is commonly caused by coronary artery disease. A complete R B B B commonly occurs after certain surgical process. In my opinion you don t have complete R B B B , but may have partial so no treatment required , if any discomfort get a treatment . Good luck. Dr,HET