IRBBB

[Tgodwin]

Hello,

I have a few questions about a IRBBB.

1. What are the sypmtoms people have that come from a IRBBB if it is something serious?

2. Sometimes when I kneel down or sit in a car I get extreme pressure on my chest and it feels like the blood rushes to my head and my heart beats irregulary slow but forceful, could this be related to the IRBBB or does it sound like Blood Pressure issues?

3. What tests will I need to get from my cardiologist to rule out anything serious from this IRBBB.


Again thanks for your time and answer DR.

[Michael J. McWilliams, M.D.]

1. There are no associated symptoms and it is often an incidental finding with no clinic significant.  IRBBB is pretty common in young healthy people.

2. I doubt it.  It sounds like increased venous return from a change in body position.   This can be pretty normal.

3. If I saw an IRBBB in an otherwise asymptomic person, I would not order any additional tests.  If there are any questions, an echocardiogram will assess for normal heart function.  A stress test may be ordered depending on if you have any symptoms that would indicated one.

In all likelihood, this is an incidental and clinically unimportant finding.  Your doctor will tell you if they think this is the case, obviously nothing I can say here is definitive because it takes more time for questions and answers.

[MDFL1]

A related discussion, IRBBB and Lexapro was started.

[LukeL]

While I am no expert in military medical qualifications I do know that certain things like pilots and tank commanders can often require absolutely no ecg abnormalities (even if they are 100% benign) For general enlistment you should be fine as I assume the ecg picked up LVH. (which is often wrong)

[cindie1981]

Hi Doc, i am a fit 27 yaer old. I was told by my GP that a LVH was not on my echo cardiogram. All vales are normal, so are all the chambers of the heart. I also had an Ecg done, that too was normal. I want to enlist in the britsh army. Can LVH restrict my training, as i feel very fit. I was diagnosed with a heart murmur. I tend to be too anxious could that have caused the LVH. Thank you in advance.