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EKG for pre-op surgery for breast cancer showed right bundle branch block T wave abnormality, inferior ischemia, advised PET stress test, postponed surgery. What is the cause?

I had an EKG for pre-op surgery for breast cancer . This surgery was delayed because my EKG showed the following: Normal sinus rhythmRight bundle branch blockT wave abnormality, consider inferior ischemiaAbnormal ECGWhen compared with ECG of 29-NOV-2010 08:14,Right bundle branch block is now PresentST depression more prominent The anesthesiogist has postponed my surgery until i have a PET stress test = am awaiting the appointment now. Can you tell me anything that would lead you to believe that I may not be able to have my lumpectomy surgery soon? Thanks for your time. Cindy
Asked On : Fri, 6 Jul 2012
Answers:  1 Views:  337
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  User's Response
Hi Cindy
Sorry about the cancer. The EKG findings might not indicate any heart problem, but the anaesthetist has to be careful. Right bundle branch block is a common ECG variant and does not usually indicate heart disease. ST segment changes can be due to a coronary problem but may not indicate this and may be part of the right bundle branch block effect or just a nonspecific finding; this is common in women. The PET scan is a very good test which will inform if there is any significant coronary problem. If not, you can continue with your surgery at once; if there is a problem you will need further tests and treatment for the heart but I expect and hope this will not be the case
Take care.
Answered: Thu, 12 Jul 2012
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