Mitral valve prolapse, right bundle blockage, enlarged right ventricle

[ill13632]

I've had angina for years and felt there was something in my heart valve blocking the flow for 30 seconds.  I've had several ekgs show enlarged right ventricle, right bundle blockage and I have some MVP.  I've had sleep apnea for years and heart damage, palpitations from that an 70% oxygen at night.  I'm on afluzosin Ablocker
the hospital ECG shows:
Ventricular rate 07 BPM, arterial rate 97 BPM (currently heart rate is about 108), PR Interval, 132ms, QRS Duration 90ms, QT 346ms, QTc 439ms, P Axis 124 degrees, R Axis 119 degrees, T axis 170 degrees
Diagnosis Line: Unusual P axis possible ectopic atrial rhythm, left posterior fascicular block, possible lateral MI, age indeterminate

I have incurable sleep apnea and my oxygen levels desat to 70% at night and I'm not cured on the ventilator and oxygen machine

[ill13632]

this shows right atrial enlargement?  isn't it serious and could mean I have heart damage, fibrosis?

[ill13632]

If the treatment fails like it has been what will happen in the next few years?  will I get CHF, arrhythmias and other diseases?

[ill13632]

thanks very much!  

[ill13632]

it's impossible to treat my sleep apnea on these machines, I desat to 70% or lower since it has worsened and I wake up with headaches and heavy fog- I get less than 1 hour of therapy a night because of the strong pressures cause me to rip the mask off.  maybe I need to move near the ocean for my asthma and heart disease and sleep apnea
I'd like to consider an ace inhibitor, alpha blocker, my heart rate is about 108

[CCFHeart MD25]

Generally speaking, sleep apnea if severe enough can be associated with both a right bundle branch block, palpitations, and an enlarged right ventricle. The treatment is to treat the sleep apnea. I would suggest you see a sleep medicine/pulmonologist for your treatment. The right ventricle size and function generally can normalize with treatment. The MVP, if mild, requires no specific therapy. This should be monitored with repeat periodic echocardiograms.