A 32-year-old male asked:

31/m- ecgs always show rbbb related changes (especially at fast heart rate). stress echo done 6 months back normal. in 2016, perfusion + tmt - normal. in 2011 (age-21), angiography normal. anxiety + chest itichness+ soreness (most of the day).help?

2 doctor answers3 doctors weighed in
Dr. Donald Colantino
Internal Medicine 63 years experience
Since you have no obvious structural heart disease and your RBBB is rate related, your longterm prognosis as far as the heart is concerned is good. In my opinion your symptoms are more anxiety related. I'm sure your cardiologist would agree with me on both counts.
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Dr. Sue Ferranti
Internal Medicine 31 years experience
It appears that your symptoms are unlikely to be heart-related. Your symptoms may be more chest wall related. Are there any skin changes? Perhaps a rheumatologist could be helpful to assess for an autoimmune condition. Going back to your primary care doctor is likely the next step to discuss options. Best of luck to you!
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Mar 21, 2023


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