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ECG showed incomplete right bundle branch block and left axis deviation. Explain?

Hi I am asking on behalf of my 18 year old son, who was diagnosed with RBBB after a faint about 18 months ago. We went to see a cardiologist who said that the ECG showed incomplete right bundle branch block (QRS 118ms) and left axis deviation. An echo was done at this time, and this was normal. As my son was taking methylphenidate he agreed to see him in a years time for a review. We have just been to see him again, and this time he said at the appointment that the RBBB was borderline . He later wrote us a letter to say that the RBBB read as significant on the ECG on that day, but that the left axis deviation was less apparent than at the first ECG and the axis was within normal limits. He also said that the two ECGs 1 year apart were more or less identical. My son s pulse may have been rather lower on the second ECG I think, because he has been going to the gym - his pulse was only 51 beats per minute. The reason for my query is whether we should be worried that the RBBB is now significant or complete, rather than incomplete. I an not too worried as I know that the numbers on the ECG can be different from one time to another, and his QRS complex length was nearly 120ms the first time it was taken anyhow. I guess I am just looking for some reassurance. All other intervals were normal, as far as I know and the cardiologist did not seem concerned. Many thanks for your help Sarah my e-mail address is YYYY@YYYY
Asked On : Thu, 27 Dec 2012
Answers:  1 Views:  667
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General & Family Physician 's  Response
thank you.RBBB can occur in healthy people.echo shows no congenital or valvular heart disease which are the other causes of RBBB.and low pulse rate is common in regular gym,dont worry
Answered: Mon, 31 Dec 2012
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