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LBBB

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Is there any treatment for LBBB ? What causes it and what precautions should i take ?
My ECG shows LBBB(Left bundle branch block) although i donot smoke , rarely drink. I have a vegetarian diet (sometimes with eggs). My weight is 88 KG , height 5'6"I donot know what caused this problem I was asked to go for an 2-D Echo test . It showed Septal motion abonormality consistent with LBBB . LV ejection fraction is 61% rest normal
My mohter does have diabetes on borderline .Please Advise


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replied July 31st, 2008
Heart Disease and Heart Attack Answer A4508
LBBB means that on a certain place the left branch of the His’s bundle is completely damaged (block). That damage is usually due to ischemia (infarct). His’s bundle is a special type of heart muscle whose main task is not contraction but conduction of the electrical impulses to the muscles of the heart’s chambers. Because of the LBBB, the left chamber is not contracting simultaneously with the right chamber but with a delay after contraction of the right chamber. When LBBB is present, the left chamber receives electrical impulses indirectly from the right chamber’s muscles. LBBB by itself shouldn’t cause any heart difficulties as long as the right branch is intact. But still, presence of LBBB indicates that various parts of the heart muscle are not supplied with blood very well. LBBB is, in fact, indirect proof that you had a small infarct (heart attack) in the past and that you might have a degree of coronary heart disorder (narrowing of the heart arteries).


LBBB can’t be treated but preventive measures can be taken in order to slow down the coronary heart disease and to prevent further heart attacks. Blood-thinners like aspirin (Disprin) are very useful.

In your case, I can notice at least 2 risk factors for coronary heart disease: being overweight and probably hyperlipidemia (because you are taking Lipofix). Drinking has no impact on the coronary heart disorder but excessive drinking can damage the heart muscle directly.

According to your 2-D Echo test your heart is still pumping well but you should watch your weight, blood fats, blood glucose level, etc. You can also request a coronary stress test.

You may want to consult a cardiologist about this.



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