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What Do These Following Echocardiogram Reports Indicate?
Question: Hi,
I had an heart echo done recently and the results showed "mild lvh" (please see attachments for full report)
I also have complete RBBB.
This has worried me a bit, and was curious what my risks are. I have quite a few questions:
1) My IVSDs in particular seems to be the furthest out of range (1.43 cm), but my IVSDd is normal. What are the risks associated with an enlarged IVSDs and what is the difference between the two?
2) when does LVH become alarming?
3) Could further LVH result in LBBB?
4) What would happen if I were to develop a LBBB with my preexisting RBBB? Would this require a pacemaker or possibly result in death?
5) I've read where ARB's could reduce fibrosis and possibly prevent further LVH, is there any truth to this? If not, what steps could I take to prevent further LVH?
6) What steps can I take to prevent further damage to my cardiac electrical system?
Thank you for your time,
XXXXXXX
I had an heart echo done recently and the results showed "mild lvh" (please see attachments for full report)
I also have complete RBBB.
This has worried me a bit, and was curious what my risks are. I have quite a few questions:
1) My IVSDs in particular seems to be the furthest out of range (1.43 cm), but my IVSDd is normal. What are the risks associated with an enlarged IVSDs and what is the difference between the two?
2) when does LVH become alarming?
3) Could further LVH result in LBBB?
4) What would happen if I were to develop a LBBB with my preexisting RBBB? Would this require a pacemaker or possibly result in death?
5) I've read where ARB's could reduce fibrosis and possibly prevent further LVH, is there any truth to this? If not, what steps could I take to prevent further LVH?
6) What steps can I take to prevent further damage to my cardiac electrical system?
Thank you for your time,
XXXXXXX
Brief Answer:
I will try to simplify things for you
Detailed Answer:
Hello XXXXXXX
I have carefully gone through the medical details as well as the attached echo report provided by you, Am Dr Bhanu partap and I am a cardiology practitioner.
RBBB is a common and unharmful finding in a significant number of individuals throughout the globe. Until unless it's develops after some symptoms it's doesn't create any issues. Now coming to your questions.
1. IVSDs is intraventricular septum thickness during systole which in your case is slightly on the higher side which at your age probably can be due to athletic physical activity. If you are physically quite active then it's fine.
2. LVH become alarming when the IVS thickness goes beyond 3.5 cm
3. LVH never itself causes lbbb
4.The possibility of change of RBBB to LBBB without any heart disease at a young age is almost negligible. So relax.
5. Yes ARB s do help but in a diseased heart. If LVH is physiological like due to increase physical activity nothing needs to be done.
6. Just keep on following healthy lifestyle habits and don't indulge yourself in any kind of drug habits and you will be fine.
I hope this information will answer your query. If you have any more doubts you can ask me back or else you can close the discussion and kindly rate the answer.
I wish you good health
Kind Regards
Dr Bhanu partap
I will try to simplify things for you
Detailed Answer:
Hello XXXXXXX
I have carefully gone through the medical details as well as the attached echo report provided by you, Am Dr Bhanu partap and I am a cardiology practitioner.
RBBB is a common and unharmful finding in a significant number of individuals throughout the globe. Until unless it's develops after some symptoms it's doesn't create any issues. Now coming to your questions.
1. IVSDs is intraventricular septum thickness during systole which in your case is slightly on the higher side which at your age probably can be due to athletic physical activity. If you are physically quite active then it's fine.
2. LVH become alarming when the IVS thickness goes beyond 3.5 cm
3. LVH never itself causes lbbb
4.The possibility of change of RBBB to LBBB without any heart disease at a young age is almost negligible. So relax.
5. Yes ARB s do help but in a diseased heart. If LVH is physiological like due to increase physical activity nothing needs to be done.
6. Just keep on following healthy lifestyle habits and don't indulge yourself in any kind of drug habits and you will be fine.
I hope this information will answer your query. If you have any more doubts you can ask me back or else you can close the discussion and kindly rate the answer.
I wish you good health
Kind Regards
Dr Bhanu partap
Above answer was peer-reviewed by :
Dr. Kampana
Hi Dr. Partap,
Thank you for your responses. I just have a few final follow up questions:
1) I've read where scoliosis in the spine can cause the heart to tilt in an obscure (axial) direction. The axial deviation, to the untrained eye, can be misdiagnosed as a heart block. I do have a minor case of scoliosis, so is it true that scoliosis can indeed give a false positive for a BBB and is this worth getting looked into further for my case?
2) As far as my IVSDs goes, is there no need to keep an eye on it at this point? I am very physically active as you mentioned could be the cause.
3) Would you recommend an aspirin every other day for general heart health?
4) If LBBB isn't caused by LVH, what effect(s) would cause it to develop (just curious)?
Thanks again
Thank you for your responses. I just have a few final follow up questions:
1) I've read where scoliosis in the spine can cause the heart to tilt in an obscure (axial) direction. The axial deviation, to the untrained eye, can be misdiagnosed as a heart block. I do have a minor case of scoliosis, so is it true that scoliosis can indeed give a false positive for a BBB and is this worth getting looked into further for my case?
2) As far as my IVSDs goes, is there no need to keep an eye on it at this point? I am very physically active as you mentioned could be the cause.
3) Would you recommend an aspirin every other day for general heart health?
4) If LBBB isn't caused by LVH, what effect(s) would cause it to develop (just curious)?
Thanks again
Brief Answer:
Hello again
Detailed Answer:
1. Only a severe degree of scoliosis can cause a change in electrical axis of heart, which is definately not a case with you. There is no need for any evaluation.
2. The IVSDs in your case is very slightly increased which is very well explained by your activity levels. So there is no need for any evaluation for coming few years if you remain asymptomatic.
3. You don't have any cardiac problem and you are young so no need for any Aspirin.
4. The most common cause for LBBB is myocardium ischemia, long standing hypertension and diseases of the aorta.
Stop worrying and start enjoying buddy.
I hope this information will be helpful. If you have any more doubts you can ask me back or else you can close the discussion and kindly rate the answer.
Kind Regards
Dr Bhanu partap
Hello again
Detailed Answer:
1. Only a severe degree of scoliosis can cause a change in electrical axis of heart, which is definately not a case with you. There is no need for any evaluation.
2. The IVSDs in your case is very slightly increased which is very well explained by your activity levels. So there is no need for any evaluation for coming few years if you remain asymptomatic.
3. You don't have any cardiac problem and you are young so no need for any Aspirin.
4. The most common cause for LBBB is myocardium ischemia, long standing hypertension and diseases of the aorta.
Stop worrying and start enjoying buddy.
I hope this information will be helpful. If you have any more doubts you can ask me back or else you can close the discussion and kindly rate the answer.
Kind Regards
Dr Bhanu partap
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
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