ecg irbbb

[kix_song]

43 year old male
previously diagnosed with essential hypertension (130/90 to 140/90)
on amvasc 5mg for 4 weeks, then reduced to half dose for 4 weeks, finally stopped by internal med dr
bp normal (110/80 to 120/80) maintained with 45 minutes daily jogging exercise, adequate hydration and healthy diet
bp, hr, bs monitored within normal values

blood tests and digital chest x ray showed normal results
ecg reported: hr 73, pr 127, qrs 62, qt/qtc 355/381, p/qrs/t axis 53/-102/12, rv5/sv1 676/46

dr noted: rhythm sinus, a 75 v 75, pr .16, qrs .06, elec axis N,
                    incomplete R bundle branch bloack, T wave inversion lead 3,
                    bp normal, heart beat normal

dr said not to worry, no heart disease, no need for 2d echo
but i searched on internet on irbbb so i am bothered

just for my peace of mind,
is irbbb in the category of congestive heart failure or not?

thanks

[erijon]

No, this has absolutely no impact on your prognosis or long term health so it should not effect your insurance. This is really an insignificant finding by all medical standards.

Jon

[kix_song]

Current coverage benefits include pre-existing & chronic conditions Congenital is fully covered

[kix_song]

After recently learning my old Cardio MD has died 2 years ago =o(

My Internal Med MD refererred me to another Cardio Echo MD for Cardio Clearance

ECG stress test with good cardiorespiratory function and normal stress test results =o)
IRBBB
9 minutes
99% target heart rate
10.3 Mets

2D echo doppler with normal heart structure, dimensions and function =o)

Cardio clearance with stable and fit to work finding =o)

My final question:

Will RBBB normal benign variant affect my medical insurance premium renewal?

[kix_song]

erjon, thanks for your comment

[erijon]

The IRBBB (incomplete right bundle branch block) is a very insignificant finding in the presence of a normal heart structure which is what your tests indicate. This simply means that there is a partial interruption in the electrical path on the right side of your heart that tells the cells to beat in a specific order. This can be the result of one cell that does not want to cooperate so the heart finds a way around it. This is a very common finding that many people have, including me, and it has not prognostic significance if your heart is otherwise healthy and free of heart disease as you are. It is not associtaed with heart failure.

Hope this helps,

Jon