Doctor insights on:
Dx'd lbbb/cardiomyopathy at 34 yrs. No symptoms, now at 37 I feel fatigue exercising at all & breathing feels like I have to try. It's not automatic. Cath, tread stress, tilt clear, BP good. Why?
I have LBBB and peripartum cardiomyopathy. The LBBB was diagnosis 1st before the cardiomyopathy diagnosis in 11/2004. I'm concerned about my life span. Help?
Cardiomyopathy: Your life span will depend on your overall heart function, how we'll you respond to medications, and how compliant you are. Find a good cardiologist that you trust and can talk to. ...Read more
Could I have cardiomyopathy with no other symptoms but an LBBB on my ekg? I have an appt w/ a cardiologist in a few days, but I'm nervous from reading
Maybe: The finding of LBBB on an ECG can be seen in cardiomyopathy, myocarditis, ischemic heart disease, left ventricular hypertrophy, and several other conditions. It can occasionally be present in a normal heart. Most people with cardiomyopathy have symptoms as well. Keep your appointment with your cardiologist. ...Read more
TerribleGERD-weaned Nexium (esomeprazole) after years of PPIs;safe to take acidophilus probiotic with cardiomypathy&impaired relaxation;EF40-45%;;LBBB;on carvedilol?
R/O IBS With GERD: IBS = irritable bowel syndrome is a diagnosis of exclusion. WiTH GERDYou need a full exam and blood work. Especial screen for H pylori. Also stool screen x 3 for occult blood /parasite/hpylori. Given age over 50 you also need a baseline EGD/colonoscopy. While you are getting these items checked out you should ditch to a gluten free high fiber diet. Ie gutbliss. Com and Wholeapproach. Com. ...Read more
Often permanent: I have only seen it once in a patient who developed LBBB with a viral infection/myocarditis and several weeks following resolution of the illness, the LBBB also resolved. Otherwise, al other cases so far have been "permanent finding." it is not a dangerous thing, just a bit difficult to interpret when you are actively having issues with your heart such as a heart attack. Worry not anita. Good luck. ...Read more
BP great, LBBB diagnosed, cath was excellent w/slightly elevated EDP, no dyastolic dys. What causes it if all else is perfect? Is caffeine bad for it?
My concern, knowing BP 119/68 (avg), EF 55%, mildly elevated EDP/20-25mm, LBBB, plumbing great, no pain but sob w/exertion should I still exercise? All started in the past few years, am I deteriorating
Yes you should: Exercise or you will deteriorate and your heart muscle will weaken. Exercise is important. Start slow and increase as tolerated ...Read more
61yr. Fem. W/LBBB-take 12.5/AM, 12.5/PM Metoprolol Tar. Can I up to 25/AM, 25/PM for stress of 8 day trip to Ireland, or as/if needed, temporarily?
You have not said: What you take the Metoprolol for. Your current dose is very small but it is not for stress it is for cardiac or vascular reasons. LBBB will not affect the consideration for dosage adjustment. Your blood pressure and heart rate are bigger considerations. You need to check with your prescriber to determine why you are on low dose and if it is safe for YOU. Without knowing your medical history, No. ...Read more
I have LBBB, diagnosed at 34 years old, no symptoms. BP 117/74, failed stress test but excellent cath. Workout daily. Afraid to push. Am I safe?
LBBB: This question is far more appropriate for your cardiologist. In general if your cath/angio is normal your cardiac risk should be low, but without full information about you such as your physicians have, that statement is not very weighty. ...Read more
I have LBBB, found at 34 years old, ef 50% BP 117/74, failed stress test but excellent cath. Workout daily. Afraid to push as I lose breath am I safe?
See below: As your angiogram did not show any evidence of coronary artery disease, you are safe from that aspect. Your EF appears to be towards the lower limits of normal. Unsure what the cause of that is. You should speak with your cardiologist regarding further management. As far as exercise is concerned, you may continue as tolerated. ...Read more
No: The main indication of implanting a pacemaker is symptomatic bradyarrhythmia. ...Read more
Hello, Dr. Friedlander. I am 61, have LBBB, 6 mos. Ago began Metoprolol Tart. 12.5 mg. At AM, 12.5 PM. Can I up to 25/25 for travel stress 8 days?
See answer: If you are trying to reach a specific physician on Health Tap you need to go thru Concierge. Prime will connect you to the next available primary care physician. ...Read more
I am a 28 year old female who was just found to have LBBB on an EKG during my physical. I feel fine and have normal bp. Could I have something serious
Requires follow up: Lbbb is an unusual finding in a normal heart, and requires further testing and follow up. At the very least, you should undergo an echocardiogram. If normal, it should be repeated every 5 years or so. An exercise stress test and a 24 hour holter monitor may also be appropriate, but are not mandatory. You should see a cardiologist. ...Read more
Will taking celexa affect my lbbb? My diagnosis of LBBB has given me pretty good anxiety and my doc prescribed 10 mg once a day of citalopram.
IMHO: I admit to an anti-ssri bias, so my opinion is humble, but it is educated. Since heart disease is so serious a threat, even at a conservative dose, i'd try to deal with the anxiety in cbt therapy and with mindfullness meditation before using drugs that are known to have side effects damaging to the heart. Do not stop ssris without doctors management if you've begun, but do consider alternatives. ...Read more
Have been prescribed lisinopril 2.5mg, are the side effects outrageous? For maintenance of LBBB and low ef 45-50. I'm on no meds, worry side effects.
Side effects: The side effects of lisiniopril 2.5mg are generally very minimal. ...Read more
31, F, 110lbs, Active. EKG class practice results: Normal Sinus, 83 bpm, Prolonged QRS. I know this is a BBB. Unclear if LBBB/RBBB. Can I reverse this?
Is SCA a threat for me? LBBB with slight diastolic dysfunction. No other problems, clean cath, good BP, doc says no meds. EF 50%. I exercise daily
Hi I went to urgen care on thursday because I was having chest pain. They did a EKG and it came back abnormal the said I have lbbb, how do you treat?
Go to heart dr.: You go to cardiologist. Most of the time you don't need to treat lbbb, but you deffinately need to get your heart checked. ...Read more
BP 117/72, LBBB, slight elevated EDP 20, EF 50-55, heart function fine. Arteries large, clear. Exercise limited at times. Diseased or dysfunction? Cure?
Diastolic: It sounds like you have diastolic dysfunction. You should discuss with your cardiolologist to get an explanation of what is possible in diagnosis and therapy. ...Read more