What Should I Do If I Have A Right Bundle Branch Block?

Question

Asked by Paul

What Should I Do If I Have A Right Bundle Branch Block?

I visited a doctor after having intermittent chest pains on the left side of my chest. It used to be severe and when I visited a doctor my EKG was "improper;" in other words, all the numerous times I went to the doctor, the EKG revealed that my heart wasn't normal.

Last Saturday the doctor told me that I have what is called a "right bundle branch block."

Previously he'd found that I have heartburn that keeps bothering me, along with a H. pylori infection. It was treated and I went back for a different type of testing and they found that this infection was gone. That severe pain has also gone, but the pain still comes and goes. It used to be severe and in my upper abdomen, a bit up in the chest, and sometimes in my back. It also feels like heat sometimes and becomes itchy.

Now I have this diagnosis of the right bundle branch block. Is that something I should be worried about. What should I do?

Answer

The electrical impulse that stimulates your heart to beat splits into two directions, traveling to the both right and left ventricles of the heart. The nerve fibers that conduct the impulse to the right ventricle are called the right bundle branch, and when these fibers are damaged so that they don't conduct the impulse the condition known as right bundle branch block develops. The right heart must then rely on the signal that went to the left ventricle to travel around back to the right side. You can see a nice picture of this at the following website: http://www.emedicine.com/ped/images/Large/11541154Untitled-5.jpg

There are various causes of right bundle branch block (RBBB). In most cases RBBB doesn't cause any symptoms or long term health problems, but there are some situations in which RBBB can be more serious—including genetic RBBB and RBBB linked to heart failure. You should be evaluated by a cardiologist who will want to know your family history (ie. do you have relatives that died suddenly of an unknown cause) and will also probably want to perform an echocardiogram to check the function of your heart.