Concluded Case

Incidental lbbb lbbb ecg

Incidental finding of rbbb or lbbb on a asymptomatic patient or detected for first time what should be the further approach. What tests and treatment to be given

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Incidental finding of RBBB, in a young ASYMPTOMATIC individual without clinical cardiac abnormalities, can be considered normal for him . No need to investigate further. LBBB is usually associated with cardiac abnormalities, whatever be the age . So cardioligical workup need to be done. RBBB , appearing new in a patient with anterior wall MI needs careful observation. In IWMI they may goin for heart block,and may require prophylactic Pace Maker. LBBB ,appearing de novo, during AWMI, is of grave prognosis .
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Incidental finding of RBBB, in a young ASYMPTOMATIC individual without clinical cardiac abnormalities, can be considered normal for him . No need to investigate further. LBBB is usually associated with cardiac abnormalities, whatever be the age . So cardioligical workup need to be done. RBBB , appearing new in a patient with anterior wall MI needs careful observation. In IWMI they may goin for heart block,and may require prophylactic Pace Maker. LBBB ,appearing de novo, during AWMI, is of grave prognosis .
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RBBB may not be due to structural heart disease but finding of LBBB should be considered as structural heart disease and consultation with cardiologist warranted.recent LBBB may be due myocardial infarction .
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Rbb can be found in several pts .if they don't have any other associated findings such as hemiblock not much to be done Lbb needs further cardiac evaluation specially in pts of hypertension diabetes
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Incidental findings of RBBB and LBBB needs to keep in observation for monitoring and investigations like 2decho LBBB needs to be treated earliest with advise of cardiologist
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One has to find out if it has appeared recently. Ask for old ECG. If it's of recent origin it's due to CAD. Advice for coronary angiogram.....
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Incidental RBBB or LBBB should prompt Investigation for structural heart disease and ischaemic heart disease
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Rbbb is no headache no investigation lbbb definitely investigate 2 d echo serum electrolyte t3t4tsh
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NEED'S.. * CARDIAC PROFILE.. * 2D ECHO STUDY.. * EXPERTS OPINION TO CONCLUDE DIAGNOSIS AND TREATMENT PLAN ..
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2D Echo would me most relevant to go for
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Nothing to worry but must ask for ECHO
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