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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are Possible Lateral Ischemia And Incomplete RBBB A Concern While Having COPD, Severe PVD, Hypertension And OSA Be Treated?

65 year old male with multiple comorbidities: s/p CABG x4 (2009); DM II; severe PVD; COPD; HTN; OSA; recent hospitalization for pneumonia....EKG sowed mod T-wave abnormality, consider lateral ischemia and an incomplete R bundle branch block.......is he in danger of a pending MI?
Wed, 10 Oct 2018
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Internal Medicine Specialist,  's  Response
Hi,

He is already having many risk factors and he may need urgent cardiologist consultation.

RBBB is may also be seen in healthy individuals. It may also be seen in pathological conditions like Brugada syndrome or right ventricular hypertrophy or myocarditis.

Thank wave morphology may also due to ischemia or hypokalemia.

So you have to consult your Cardiologist he will examine and treat you accordingly.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Penchila Prasad Kandikattu,
Internal Medicine Specialist
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Are Possible Lateral Ischemia And Incomplete RBBB A Concern While Having COPD, Severe PVD, Hypertension And OSA Be Treated?

Hi, He is already having many risk factors and he may need urgent cardiologist consultation. RBBB is may also be seen in healthy individuals. It may also be seen in pathological conditions like Brugada syndrome or right ventricular hypertrophy or myocarditis. Thank wave morphology may also due to ischemia or hypokalemia. So you have to consult your Cardiologist he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist