Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome on HCM!

I read carefully your question and would explain that in general in individuals with chronic pulmonary disorders, especially asthma, there may be ECG changes that are mainly related to the right heart. That is, there may be evidence of complete or incomplete right bundle branch block and to a lesser degree left bundle branch block, signs of right ventricular hypertrophy and also right atrial enlargement.

The fact that your ECG machine interprets presence of complete left bundle branch block, probably may be explained with some degree of left ventricular hypertrophy.

Also some degree of atrial enlargement are common in chronic asthma.

I would like to reassure you that these ECG changes (incomplete left bundle branch block and atrial enlargement), do not confirm any particular dangerous situations.
Not rarely these ECG findings appear also in quite normal individuals.

So, you don’t have to worry about that. The only thing, I would recommend you to discuss with your cardiologist is performing a cardiac ultrasound to directly view if there is any cardiac structure changes, secondary to your pulmonary disease and also to investigate whether any other potential cardiac disorder (left ventricular hypertrophy, mitral valve regurgitation, etc.) is present.

Your blood pressure values are not concerning; they are just around the upper normal limits.

The only treatment that I would advise you is to correctly follow asthma therapy and to relax.

Only if any additional cardiac findings resulting from cardiac ultrasound, probably it would be necessary to review your therapy.
I would be happy to directly review your cardiac ultrasound reports and any additional available tests and give another professional opinion.

Hope to have been helpful!
Feel free to ask any other questions whenever you need!

Kind regards,

Dr. Iliri

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