Question: I have done a few Steroid cycles in the past using predominantly Testosterone and Boldenone, also Clenbuterol as a fat loss supplement. I stopped all use and after a year or so I had a heart check and they found a Non Pathogenic LBBB. Whilst all tests resulted as "healthy", I wondered if AAS use had anything to do with the onset of LBBB

Hi Dr Benardi,

I don't have test results other than a letter I have copies/pasted below. I have done 3 separate full checks of varying intensity (Stress EKG, Echocardiogram with and without a radioactive fluid etc) All Doctors stated everything was perfectly normal other than LBBB after these checks.

I ceased any Steroid use 2 years ago. Is it possible at all the LBBB may go in time, or is it a non reversible condition? Thank you for your time!

Best regards,
Greg
(previous report below)
Clinical:
Thank you for asking me to see this 42 year old Commercial Pilot. He failed a medical for China Airlines on the basis of left bundle branch block. No further investigations were undertaken. He has passed his medical for the last 25 years. He experience no chest pain, breathlessness or palpitations. He has no background history of ischaemic heart disease. There is no illicit drug use. So basically a left bundle branch block has been picked up on a routine medical and Mr Hall has initiated this consultation as a preemptive strategy should he apply for other Airline positions.

We investigated him by way of an echocardiogram, which was completely normal except for the dyssynchrony one would expect with left bundle branch block. Stress Echocardiography indicated normal augmentation of left ventricular function, thereby excluding underlying ischaemic heart disease.

He has a non pathological left bundle branch block and this requires no further follow up.