Asymptomatic Complete LBBB

[Swall123]

Are any people, out there, who have had this diagnosis, receive active clinical management of this condition despite having no signs or symptoms except for the abnormal ECG?

[michdev]

I take it you are referring to Left Bundle Branch Block. Yes I discovered this on my last ECG but no further action was taken

[Swall123 in reply to michdev]

Yes, I was diagnosed with a complete block of the left bundle branch about 12 mths ago. GP was very proactive and as he did not know if I had any heart disease or had experienced a recent heart attack so I was referred to A and E and had diagnostic tests , which were all normal.

I then had an echocardiogram which again came up with nothing. GP says that I could have had it for years .My BP is really good and I walk about 10,000 steps a day ( I am 65 ). However, the information regarding this condition appears to be contradicting at times and I have tried to find out if there are any guidelines for the clinical management of this condition, again not a lot of information.

[michdev in reply to Swall123]

Hi Swall123 lovely to hear back from you. Even when I googled LBBB there didn't seem to be a lot of information about it. I was a bit concerned when I read from another website (BHF) that it can lead to an underlying heart condition. I haven't heard anything further. I underwent the 48 hour heart monitor which picked up on these and was referred for an MRI but this was back in 2016. Before this I was borderline cardiomyopathy and at one stage the consultant was almost sure I had angina but this was ruled out after my last MRI. Basically I was informed I had a heart defect and was referred for a routine ECG and I just discovered LBBB on the actual result.

Keep up the good work Swall123 esp the walking. Sometimes when I walk some distance I feel breathless but don't walk as much as I should do to be honest lol

[Philippa_BHF]

Hi Swall123,

LBBB is a very specific and distinctive unusual waveform seen on an ECG, so not a medical diagnosis, nor caused by anyone's lifestyle or activities.It doesn't cause symptoms and many people have it without knowing about it.As it 'looks' abnormal compared to other ECGs it makes it impossible to diagnose a heart condition without doing other tests such as echocardiogram and blood tests to check for heart muscle damage if clinically indicated, but can be useful if a person has had a previous ECG which was otherwise normal.

You can't actually 'manage' it, but it would be documented in medical notes as along the lines of ' ECG- LBBB' so in the future, if necessary, other medical professionals would be able to see this has been noticed before.

I hope this has helped clarify things for you.

Take Care,

Philippa

[Swall123 in reply to Philippa_BHF]

Thank you for your response. Gives clarity to my current medical situation

If I have interpreted your answer correctly, the bottom line, in the absence of any other signs or symptoms, in my particular case is to get on and enjoy life. Many thanks again