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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Bifascicular Block With An Atrial Septal Defect?

I am a 35 year old female. A few months ago an ECG showed that i have a bifascicular block (right bundle branch block with left posterior fascicle block). An atrial septal defect was suspected. One has now been found but it is small, clinically insignificant, and doesn t need to be closed. I am at a loss as to why I have this block. I have researched it extensively and have learnt that the particulr combination of block I have is very rare and very serious with a 70% chance of proceeding to complete heart block. I would appreciate your view on the matter. Apart from this recently discovered block I am in excellent health. Thank you.
Tue, 20 Dec 2016
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Cardiologist 's  Response
hi
RBBB us normal in 85% of cases
in case you have a asd , then a echo should be done to rule out the nature of the shunt ,in case the shunt is from left to right its not problemstic but as time passes the shunt reverses to right to left due to right side hypertrophy !
RBbb and fasicular block is normal if ejection fraction is normal!
thanks
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What Causes Bifascicular Block With An Atrial Septal Defect?

hi RBBB us normal in 85% of cases in case you have a asd , then a echo should be done to rule out the nature of the shunt ,in case the shunt is from left to right its not problemstic but as time passes the shunt reverses to right to left due to right side hypertrophy ! RBbb and fasicular block is normal if ejection fraction is normal! thanks