Answered by Dr. Sagar Ramesh Makode

Answered by Dr. Sagar Ramesh Makode

Which test is best to identify the left bundle branch block?

Hello doctor,

I was diagnosed with a left branch bundle block a few years back. I have been under the care of a cardiologist to make sure my heart is fine since then. I have done stress echos yearly or every two years since and have been told my heart is otherwise fine. I just had to switch the other doctor because of insurance and my new doctor says old stress echos are irrelevant, that only chemical or nuclear echos work in patients with lbbb. Is this true? I have a strong family history of heart disease, my father survived two heart attacks, mother survived double bypass and my maternal uncle died from a heart attack, all were smokers with high cholesterol and high blood pressure. I am a former smoker. I am a 43-year-old female. I have been exercising six days per week for over 20 years. My cholesterol is high 213 but HDL is 140 and triglycerides are low. I am a little put off by a nuclear stress echo and would prefer the regular exercise. But I want to know what this new doctor says is true? Then I guess I will have to go nuclear. I am currently taking Spironolactone 100 mg for acne, Omeprazole, and multivitamins. I just had an ultrasound of heart and EKG past monday. Doctor did not mention anything other than lbbb that was previously diagnosed.

26 Apr 2024 - 1 min read

Please review my attached ECG reports.

Hi doctor,

I regularly do yearly ECG test. This year I could not do that due to certain situations. I did a routine ECG test and got a consultation from a local physician, and he told me that the result was normal. I wanted to get a second opinion. I have no history of any previous health issues. Could you please check and let me know if everything is fine. Please help.

26 Apr 2024 - 1 min read

What causes sluggish mental activity and lethargy?

Hi doctor,

My health checkup report is enclosed. I feel little lethargic with sluggish mental activity. Please advice some medicines. I am already on Ecosprin 75 and Aztor 10.

26 Apr 2024 - 1 min read

Does dizziness and neck pain indicate brain problem?

Hi doctor,

I recently went to the ER for dizziness. My blood work came back normal. I am a 28 year old female. The doctor told me that it was a sinus headache, but nothing seems to change. I still wake up dizzy with neck pain. There could something be wrong with my brain. I am much worried

26 Apr 2024 - 1 min read

Why does RBBB and left ventricular hypertrophy mean on ECG?

Hi doctor,

My son is 12 years old, very active, plays representative basketball and attends a sports high school. Last Sunday, he was knocked over while playing and hurt his arm. After getting up, he fainted. He was fine after that. There were no broken bones, but the medical center did an ECG, and it says on the ECG as non-confirmed diagnosis, incomplete RBBB marked left ventricular hypertrophy. We took this to a pediatrician and he said his ECG can be normal but said maybe seeing a cardiologist would make us feel better. I have booked in to see one but I would like some reassurance because the appointment is one month away. The pediatricians report says incidental finding of a partial RBBB and slight tall R waves in V4-V6. I have a copy of the ECG if needed.

26 Apr 2024 - 1 min read

Education

MBBS., MD GENERAL MEDICINE., DM CARDIOLOGY

Specialties

Cardiology

Specialized Treatments

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