On Thu, 19 Feb 1998 17:24:53 +0000, Peter Glover
<[log in to unmask]> wrote:
>A patient of mine has returned from a BUPA screen. He's totally
>assymptomatic, age 47 and his resting ECG showed RBBB. The BUPA doctor
>told him to see me and that I would refer him to a cardiologist. Leaving
>aside how annoying it is to have to pick up someone else's loose ends, I
>always thought RBBB (as distinct from LBBB) could be safely ignored.
>Have I got it wrong?
>
I don't think so. We don't have a practice ECG (the partners won't let
me get one), so I'm a bit rusty, but I always thought isolated RBBB
was unimportant. My textbook agrees that normal people may have
congenital RBBB, though it also says it can be found in IHD,
hypertension, PE, cardiomyopathy, myocarditis, rheumatic heart
disease, pericarditis, Chagas disease (!?) and congenital ASD, but
presumably these would all be obvious in other ways!
Dr David Evans
Cardiff
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