Can Vicodin cause LBBB?
I would explain as follows:
Welcome and thank you for asking on HCM!
Regarding your concern, I would like to explain that your clinical conditions are a bit complex, as we have several confounding factors.
We have from one side Lyme disease, which is actually well known for its adverse implications overall the body; with articular, cardiac and neurological involvements prevailing the clinical symptomatology.
Cardiac conductance disturbances (atrio-ventricular blocks, bundle branch blocks [LBBB or RBBB], etc) are among the most frequent complications of Lyme disease (infection) encountered in around 10% of untreated or not properly treated patients. They may be mild and transient but sometimes severe (complete atrio-ventricular block) and persistent requiring permanent cardiac pacing.
From the other side, we have cytostatics (Herceptin) cardiomyopathy and hypothyroidism, which both may influence cardiac conductance physiology.
Also a degenerative process of cardiac conductance system as well as a hidden coronary heart disease may be manifested with LBBB.
Coming to this point, it is necessary to perform a comprehensive differential diagnosis addressing all the above mentioned topics.
I recommend discussing with your doctor about the possibility of a Lyme disease relapse (as arthritis symptomatology and LBBB may be an underlying clinical expression). In this regards, it is important to review whether Lyme treatment has been according to the current guidelines, and the study of the overall clinical course (symptomatology, laboratory, etc). A Lyme disease specialist should be consulted.
A cardiac performance status should be reviewed (cardiac ultrasound, and even a cardiac MRI) for investigating LVEF, and other physiological indexes, as well as detecting possible structural adverse implications (fibrosis, focal inflammation, etc).
Regarding Aspirin and Vicodin, I would like to assure you that they don’t exert any adverse effects on cardiac conductance functioning (and hence on LBBB). So, you can use them safely.
Concluding the right responsible factor of LBBB (by the above recommended tests) could lead to a better management and possible recovery of the actual complains.
Hope to have been helpful to you!
In case of further uncertainties, do not hesitate to ask me!
You are welcome!
As you are actually in the chronic phase of Lyme disease, no therapy could eradicate the infection.
The reason for consulting a Lyme specialist is to review Borrelia reactivation by those specific antigen markers, underlying antibodies and specific leukocytes receptor transformations, etc.
This would help to review potential infection implications in your actual clinical findings.
My opinion is that at this point the most important issue is to closely monitor and manage potential Lyme disease complications.
It may involve all body systems and if not promptly treated, may severely affect your vital functions and seriously risk your health.
You need to review your cardiovascular functioning condition by consulting your cardiologist.
Wishing you a good health,