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Dr Basu
Dr Basu, Experienced Specialist
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Experience:  MD
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Can A incomplete right branch block cause weird heart

This answer was rated:

Can A incomplete right bundle branch block cause weird heart rates?
And do i have a incomplete right bundle branch block? I will import the ECG in to the next reply

Regards Teije

Dr. D.J. :

The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.

Dr. D.J. :


Hi there,


This is Dr. D.J., experienced Internal Medicine Specialist.


I am here to address your concerns and provide great service.

Dr. D.J. :

Not usually

Dr. D.J. :

incomplete RBBB should not affect your heart rhythm.

Customer:

oke

Customer:

i try to upload the ECG

Customer:

one moment

Dr. D.J. :

ok

Customer:

http://s17.postimg.org/n6ft7nmtb/Scan0022.jpg

Customer:

Full Size Image

Customer:

can you see it?

Dr. D.J. :

Yes I can

Dr. D.J. :

This is incomplete RBBB.

Dr. D.J. :

Best wishes,

Customer:

how can you see it?

Dr. D.J. :

I see the picture you uploaded.

Dr. D.J. :

The incomplete RBBB is seen on V1, V2 leads

Dr. D.J. :

QRS duration is less than 0.12 sec in V1 V2

Dr. D.J. :

You have bigger S in lead 1

Dr. D.J. :

I do not see your V6 though --but not required since diagnosis is apparent from V1, V2

Dr. D.J. :

Best wishes

Customer:

O i have some more ECG where they don't say its incomplete rbbb

Customer:

Full Size Image

Customer:

i do have a very slow sleeping heart rate

Customer:

and sometimes a fast heart rate when doing nothing

Dr. D.J. :

ok

Dr. D.J. :

In that case, it is better to get a 24 hour holter monitor to capture the heart rhythms during these episodes.

Customer:

i have had two 24 hours monitors

Customer:

both showed a heart rate of 34 during sleep

Customer:

with longest R-R 2.0 seconds

Dr. D.J. :

Have you seen a cardiologist yet?

Customer:

yes

Customer:

he says he is not worried at all

Customer:

and says i probertly gonna life long

Customer:

longe

Customer:

rr

Customer:

longer

Dr. D.J. :

correct

Dr. D.J. :

usually not concerning.

Dr. D.J. :

But if you develop dizziness, chest pain, you will need a pacemaker.

Customer:

yes but he says that a pacemaker on my age is really rare

Customer:

they also did a echo and that was normal he said

Customer:

and a stress test when i got up to 300 watts and a heart rate of 198

Dr. D.J. :

Yes I agree.

Dr. D.J. :

Should be considered in future or if you become symptomatic.

Customer:

when you get older

Customer:

does your resting heart rate increases?

Dr. D.J. :

yes usually.

Dr. D.J. :

Also the heart rate can slow down over old age.

Dr. D.J. :

this is because the heart pacemaker degenerates over age.

Customer:

somebody told me that when you are 25 in most of the time increases while sleeping?

Dr. D.J. :

not really --heart rate usually slows down during sleep as your body is not that active.

Customer:

i meant that when i'm 25 i can have a higher sleeping heart rate

Customer:

i it also possible when your are overtired that your sleeping heart rate and resting heart rate is lower?

Dr. D.J. :

still, it does go up much during sleeping

Dr. D.J. :

Yes tiredness can affect your heart rate

Customer:

hmm maybe thats it i was overstressed during the holters

Customer:

can that cause a lower sleeping heart rate because you sleep deeper?

Dr. D.J. :

yes that is likely

Customer:

i have a appointment again with the cardiologist the 14th because i dont feel good

Customer:

i will discuss this with him

Customer:

i do have a last question

Dr. D.J. :

ok

Customer:

i also saw on the monitor a weird thing

Customer:

you have the normal ecg line

Customer:

normal ritme

Customer:

but sometimes you see at ecg that the baseline moves in height

Dr. D.J. :

That can be due to the machine used.

Customer:

https://lh4.googleusercontent.com/-WAyX_TBI5fw/TWzT8OiDDNI/AAAAAAAAAD4/eg2aLTP8vkA/s1600/ECG+Interpretation+Review+-+16+-+Pericarditis-29f.jpg

Customer:

here you see something like that

Dr. D.J. :

Yes I have seen that.

Dr. D.J. :

That can be normal also in young individual.

Customer:

yes but why does it make such a dip down?

Customer:

not the normal baseline

Customer:

has that something to do with bodymovement?

Dr. D.J. :

Yes body movement is the common problem.

Customer:

and pvc's or pac's?

Dr. D.J. :

they can also be commonly seen without any serious problem.

Customer:

thanks allot!

Customer:

no sudden cardiac death for me?

Dr. D.J. :

No

Customer:

impossible?

Dr. D.J. :

Very unlikely.

Customer:

haha wise answer

Customer:

i have to thank you

Customer:

and wish you a nice day :)

Dr. D.J. :

very welcome

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