RBBB + palpitation (I guess) I can't sleep!

[thedsc]

Yesterday I've got the result from the ECG, but I have yet to schedule another visit so that another doctor would analyze it and tell me what I have to do or not....

But I couldn't avoid researching a bit for the diagnosis on the paper, and even though I try to "cheat" somewhat researching a bit more with optimistic keywords, one of these conditions (RBBB) ranges from something almost harmless to the probable main cause of sudden death among young people....

I'm 26, not overweight, some belly fat but I'm probably being picky on mentioning that, don't (never) smoke, don't drink alcohol and never used any drug, just coffee, but not today.

I've having some odd sensations that led me to twice go to a sort of "mild emergency", but turn out that was nothing, or nothing that they could access in the time limit they have. Once (2006) the doctor even said that my heart was "healthy as a baby's heart", which was meant to sound positive, and in the last time, this year, I they've not done an ECG but only pressure check and said it was ok. The day before it was low, I've checked in a pharmacy.

Here's a scan from the last ECG:

http://img377.imageshack.us/my.php?image=outmi5.jpg


Other thing that was mentioned in the part that is not scanned is that there are "ventricular repolarization alteration in the anterior wall".

The thing that gets me some relief is that apparently this does not have an ST elevation, which as far as I've read, is the "marker" for sudden death, but in the other hand, I can't even see the RBBB there!!

Now there are these palpitation-like feelings (they're not new to me but now I"m particularly scaried), I don't feel as my heart stops for a moment, I can't notice that, only it seems to make a single harder beat every now and then, I feel like a "thud", but I cant even really know if it is a heart beat or some internal muscular spasm of some sort!


So if some doctor could take a look at this and say something.... I don't know if I should go to the emergency just for feeling scary while they're dealing with more certain troubles, but I couldn't sleep last night, this is just terrible...

[thedsc]

Wow, this must be quite disorienting, but you seem to be accepting it well, that's good. I thought myself that, whatever I have or have not, worrying to much would only add to the problem, perhaps even clinically speaking, as stress is not healthy. But at the same time I don't know how much it came from real rationality or if my brain became saturated with the brain chemistry of fear and is now somewhat tolerant to these internal "fear-drugs"... I've managed to sleep wich is good too. Before I was afraid, everytime I was falling asleep I suddenly woke up in fear of being actually fainting instead of just sleeping...

I can't avoid imagining that would be interesting to have all these doctors you've seen discussing with each other about the results, each one having to stand for their held position with arguments, so maybe they could reach an agreement, instead of each one just being a dissonant voice of authority. Perhaps you could try to persuade them to do that by e-mail? I don't know, I'm just wondering.



I'll only be able to schedule an appointment with a cardiologist by October 1st :( And the real appointment, who knows when...

I tried to speed things up but the best thing I could do was to have a general practicioner to see the ECG, and tell me that it's nothing to really worry about... but I'm not much more relieved anyway, searching a bit about it on the net I found things like: "Usually, if the patient does not have any symptoms of lightheadedness or dizziness, palpitations, or fainting spells, the RBBB is just a finding on an electrocardiogram (ECG) of no consequence"... but I *do* have some of these things, at least to a little degree... I've never actually fainted in my life, but I think I have a few episodes of what they call "presyncope"... very quick, about a second... I'd be reading and my eyes would seem to miss the line, as if someone had shaken the book in my hand just for a second. I can't really tell how frequent it is, it's not every hour, perhaps not every five hours, and perhaps there's even entire days with anything like it. By "like it" I'm referring to some degree of dizziness, but so mild that I can't really tell If it's real or just my mind playing tricks on me... I don't feel I'm "about to fall", I just feel that my natural balance is just not quite perfect...

Thanks for commenting, and you take care too

[PikaPika88]

I don't know how to read ecg.  Well, it is a little bit like mine but not all.  LOL.  I know people will jump in and scream at me, to compare an ECG like this way?

When I was 15, my palpitation turned out:- RBBB & PAT.  It was wpw.  Now they over write it with the his bundle ablation and pacemaker.  It turn out:- LBBB, AT, AF, ST elevated, QTc 675 etc.  I'm still having wpw.  Some doctors said is Brugada variant.  Some doctors said is MI but my EP said they don't know how to read my ECG.  They read it wrong!???

My EP said my heart is as normal as everyone else.  Nothing wrong.  I really don't know what I have or haven't.  It is confused.

Please post back and tell us what is your cardiologist said.

Take care.

[thedsc]

Some additional data with the ECG I forgot to add:

vent. rate 69 bpm
PR int. 134 ms
QRS dur. 108 ms
QT/QTc int. 392/ 412 ms
P/QRS/T axis 34/69/18°
RV5/SC1 amp. 1.595/ 0.735 mV
RV5+SV1 amp. 2.330 mV