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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does ECG Report As Bifacicular Block In The Heart Suggest?

dear dr,, I am sending my mother s ECG reports along with other reports&case history. please consider my condition.various dr said different things in Kolkata.we are puzzeled.please show the right way as early as you can.my mother is 60yrs .she is suffering from sudden blackout & remain senseless for 1 or 2 minutes .first it was happened in 16/12/2008, again in 15/05/2011,,again26/06/2011again20/10/2011, she takes regularly Hydrochlorathiazide &amlodipine tablets& Atrovastatin Tablets .her ECG report sows byfacicular block in her heart.her BP140/80,pulse 85,ECO report is normal,Dr say pacemaker is only reamedy.I want to know that is it true? or there is other remedial procedure to be cure, if pace maker is necessary which kind of pace maker I will adopt adopt single chamber or dual chamber. DR says single chamber.if it necessary,then V V I or VVIC .what is the total cost of implantation in kolkata? thanking you sincearly ANIRBAN BOSE anirbanwbcs@gmail. com ANIRBAN BOSE 7 attachments — Download all attachments View all images      spondylosis xray.jpg 1010K View Download      holtar ecg 2.jpg 591K View Download      holtar ecg 1.jpg 546K View Download      echocardiogram.jpg 558K View Download      ecg 2.jpg 2099K View Download      ecg 1.jpg 1443K View Download      blood report.jpg 1036K View Download
Mon, 27 Apr 2015
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General & Family Physician 's  Response
Welcome to Healthcare magic. Thank you for posting your query.
I can understand your concern.

The term "bifascicular block" refers to a block of any two of the three fascicles. Clearly, this should include LBBB (left anterior + left posterior)
In LBBB, the interventricular septum (wall separating left and right chambers) is activated normally, and the electrical impulses travel rapidly down the right bundle branch to activate the right ventricle. But because the left bundle branch is blocked, the impulse then must cross the interventricular septum to activate the left ventricle after a short delay.
Can cause skipped beats, etc. Not an uncommon event and considered harmless, but can be serious depending on circumstances.

I would suggest you to not panic.
Keep in touch with your cardiologist.
It would have been great had I examined your mother on my own.
This being a public forum question , I couldn't get access to the attachments.

SHe may need a single chamber pacemaker only.

Write back to us.
Regards.


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What Does ECG Report As Bifacicular Block In The Heart Suggest?

Welcome to Healthcare magic. Thank you for posting your query. I can understand your concern. The term bifascicular block refers to a block of any two of the three fascicles. Clearly, this should include LBBB (left anterior + left posterior) In LBBB, the interventricular septum (wall separating left and right chambers) is activated normally, and the electrical impulses travel rapidly down the right bundle branch to activate the right ventricle. But because the left bundle branch is blocked, the impulse then must cross the interventricular septum to activate the left ventricle after a short delay. Can cause skipped beats, etc. Not an uncommon event and considered harmless, but can be serious depending on circumstances. I would suggest you to not panic. Keep in touch with your cardiologist. It would have been great had I examined your mother on my own. This being a public forum question , I couldn t get access to the attachments. SHe may need a single chamber pacemaker only. Write back to us. Regards.