angina, right ventricle enlarged, right bundle blockage

[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

thanks very much!!!

[ill13632]

don't you think doctors make millions not treating patients and having their diseases progress??  it's not easy to win a malpractice case in court

[ill13632]

the R axis is clearly out of range showing some heart disease

[ill13632]

the ekg reading says that.  but the doctors NEVER gave me heart medication and let my heart DIE over years and all they do is have me in for visits and tests and charge my insurance like $600 a visit

[erijon]

The EKG strip says that or did the doctor?

[ill13632]

but I have ecg that shows enlarged right atrium sometimes RBB, and some MVP.  that can't be good to have an electrical block?

[erijon]

Mine is not treated at all, but that is for a cardiologist to determine. Again, in a normal heart structure a RBBB is usually of no significance. You need to ask your doctor to be sure.

[ill13632]

should RBB be treated with drugs like ace inhibitors, beta blockers?  my cardio was going to put me on some but he seemed terrible

[erijon]

An EKG is not a good test to determine chamber size, I would have an echo to find out. The RBBB is also a common finding, again I have one as well and with an otherwise normal heart is not usually a significant finding, but can be problematic with known heart disease.

As the doctor answered, the LPFB should be checked out, however I'm sure your doctor has considered this as it sounds like you have a significant history. I am surprised you have not had an echo which makes me think your doctor may not be as concerned as you. An echo will answer your questions so you should have a sit down discussion with your doctor.

[ill13632]

I think the bundle blockage electrical problem is serious, what do you do about that?  also what to do about the enlarged ventricle?  I think it's all the shocks my heart gets every night from low oxygen and stopping breathing

[erijon]

It says there's a possible MI or "artifact" of indeterminable age. That's a fairly common comment when an EKG is read by a computer, mine has said the same thing since 1994 when I had my first EKG. Subsequent testing has shown it to be a false positive. That's why we have doctors to read these things.

Don't let it work you up, just ask your doctor about it for reassurance.

[ill13632]

wait the hospital ecg shows heart attack, MI?  they didn't do anything except give me potassium
when I had angina it was like the vessel was tight and clogged for 30 seconds and then it was ok or I felt the heart being squeezed from both sides.  How can I cure my enlarged ventricle, MVP, LBBB, RBBB, through exercise, diet, which medications please?  the echo stress showed mitral valve prolapse and then I felt nauseous and had to lie down.  the doc was going to give me meds but then said 'he wouldn't because of asthma' don't I NEED meds?

[Paderla Anitha, DNB]

Hi there. Was the possible MI investigated further? Was stress testing done?  If this is present then it could account for the fascicular block. A left posterior fascicular block (LPFB) also known as a left posterior hemiblock (LPHB) occurs when the posterior fascicle of the left bundle branch is no longer able to conduct action potentials.  So, check with your doctor to determine the cause for these changes. Regards.