HomeAnswersCardiologyecgKindly explain the abnormal ECG showing incomplete right bundle branch block with inferior infarct.

There is incomplete right bundle branch block with inferior infarct in ECG. Why?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Isaac Gana

Medically reviewed by

Dr. Divya Banu M

Published At February 21, 2020
Reviewed AtJune 22, 2023

Patient's Query

Hello doctor,

Yesterday my wife on her annual checkup got an abnormal ECG. The report says: Normal Sinus Rhythm, Incomplete right bundle branch block, inferior infarct, age undetermined. She is 55 years old, a little overweight, otherwise healthy. We are very worried.

Answered by Dr. Isaac Gana

Hello,

Welcome to icliniq.com.

I understand how worried you are about your wife's health, do not worry she will be fine soon. The ECG (electrocardiogram) shows evidence that points to the fact that your wife has a injury to the right part of her heart. This can cause a disruption of electrical impulse traveling to that area which show cased as (right bundle branch block). I advise you see a cardiologist. She needs to do further investigations like Echo (echocardiogram) to ascertain how well her heart is working and to know the extent of damage. I wish her a speedy recovery. Best regards.

Patient's Query

Thank you doctor,

Is it urgent? Like going to ER today? Or appointment with cardiologist in 10 days is fine? Where can I learn more about this specific heart issue, what questions should I ask cardiologist?

Answered by Dr. Isaac Gana

Hi,

Welcome back to icliniq.com.

You should see a cardiologist as soon possible. Tomorrow if you can. Although these changes in the ECG might occur also in normal healthy people due to error in placing the ECG leads, It is also possible she suffered a silent heart attack. This usually presents without obvious symptoms. The cardiologist might ask her to repeat the ECG and also do an echo. Echo is most accurate in showing if there was a prior heart attack. The questions you can ask will be dependent on the result of the ECHO. If the Echo confirms there is evidence of a heart attack, you should ask him how bad the heart muscles are damaged? Ask about necessary changes in lifestyle, medications she might need to take, activities she can engage in.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Isaac Gana
Dr. Isaac Gana

Cardiology

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