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Diabetic, suffered pancreatitis, shoulder pain. ECG suggest RBBB. What does it mean?

I am a diabetic and suffered pancreatitis in Dec 2012. I am still not fully recovered as the pancreas is still inplammed with peri pancreatic collections. I was having left shoulder and left elbow pain in muscles for last two weeks and consulted a physician who did ECG. The ECG suggest RBBB . What does it mean and what could be coorelation with pancreatitis. My earlier ECG done during hospitalisation because of pancreatitis was normal and the ECG done in 2009 was also normal.
Asked On : Tue, 5 Mar 2013
Answers:  2 Views:  66
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Critical Care Specialist 's  Response
Welcome to health care magic
Dear patient , as you are diabetic , and have pain in left shoulder and elbow , a new onset RBBB in ECG can suggest acute coronary syndrome , so you may please get consulted by a cardiologist who after further testing like cardiac enzymes and echocardiography will be able to tell you what is the significance of this RBBB. It is not related to pancreatitis but your pain in shoulder may be due to that if you have a collection in the pancreatic tail below the left side of diaphragm, for that you can consult with the surgeon who is treating your pancreatitis
hope you got my point
wish you a speedy recovery
Dr Arshad
Answered: Tue, 5 Mar 2013
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General & Family Physician Dr. Pavan Kumar Gupta's  Response
The electrical system of the heart starts at the Sinus Atrial or SA node where the signal for the heart to beat originates. The signal then travels through the atrium to the atrio-ventricular node (the AV node) and then moves down into the ventricles into the bundle of his which shortly there after divides into two "wires", the left and right purkinje fibers. 

In a bundle branch block, there is a delay in the electrical signal traveling through these purkinje fibers. A delay of the right system results in a right bundle branch block and a delay in the left results in a left bundle branch block. 

A RBBB may be associated with underlying heart problems,however, it is also a fairly common in normal, healthy hearts. 
But since you are a diabetic patient and having symptoms,you must be properly evaluated by a cardiologist and treated if any anomaly detected.
Answered: Tue, 5 Mar 2013
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