Question 1

I recently got an ECG done that showed IRBBB, and after that, I had an echocardiogram and TMT, which both turned out normal. Should I be doing these tests every year? And do you know why the IRBBB showed up in my ECG? Is there any treatment I should consider for this?

Accepted Answer

Intermittent Right Bundle Branch Block (IRBBB) is a common finding in electrocardiograms and is usually considered a benign condition, especially if other cardiac tests such as echocardiogram (echo) and exercise stress test (TMT) are normal. It is not typically associated with any symptoms or specific treatment. In your case, since your echo and TMT results were normal, there may not be a need to repeat these tests every year unless your doctor specifically recommends it based on your overall health condition. IRBBB can sometimes be a normal variant or can be associated with underlying heart conditions, so it is important to follow up with your healthcare provider for further evaluation and guidance. If you do not have any symptoms and your other cardiac tests are normal, no specific treatment may be necessary for IRBBB. However, it is important to maintain a healthy lifestyle, including regular exercise, balanced diet, and avoidance of smoking and excessive alcohol consumption to promote overall heart health.

Question 2

Is it normal for my resting heart rate to sometimes drop to 55? I've been keeping an eye on it using my Apple Watch, and I've noticed this happens on about six days over the past month. I'm currently taking Ciplar LA 20 since July, and before that, I was on Petril Beta for two months. Also, when I exercise, my heart rate shoots up to between 150 and 180 but returns to normal pretty quickly after I stop. I had a stress echo test done last December and everything was fine, but I'm wondering if I need any further testing. What do you think?

Accepted Answer

Resting heart rate between 54 to 60 beats per minute is considered normal for adults. Since you have a history of taking Ciplar LA 20 and Petril beta, which are beta blockers, it is expected to have a lower resting heart rate. Your heart rate increasing to 150 to 180 beats per minute during exercise is also normal and shows that your heart is responding appropriately to physical activity. As long as your heart rate returns to normal after you stop exercising, and considering your previous normal stress echo test results, there is no immediate need for further testing. Just continue monitoring your heart rate and consult your doctor if you notice any concerning symptoms.

Question 3

I'm 25 and went for a full heart check-up. My ECG and echo were both normal, but my first TMT test came back positive even though I didn't feel any pain or issues while exercising. I decided to take the TMT test again just to be sure, and this time it came back normal or negative. Why would the first TMT show positive? Do I need to look into this more or get further tests done?

Accepted Answer

The initial positive TMT result may be attributed to factors like dehydration, anxiety, or a false positive, especially since you didn't experience any symptoms during exercise and the repeat test came back normal; however, to confirm the absence of any underlying cardiac issues, consider discussing further evaluation with your cardiologist, such as a stress echocardiogram or a cardiac MRI, to rule out any potential concerns.

I'm a bit concerned about my recent ECG report. It showed a result of 800 sinus rhythm and 733 suspect inferior myocardial infarction. Could you help me understand what these numbers mean and how serious this might be? Do I need to take immediate action or get more tests done?

yes it is a concern immediate cardiologist opinion is required.

More Cardiology Health Queries

I recently got an ECG done that showed IRBBB, and after that, I had an echocardiogram and TMT, which both turned out normal. Should I be doing these tests every year? And do you know why the IRBBB showed up in my ECG? Is there any treatment I should consider for this?

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