Complete blockade of right bundle branch block

Question: I am 52 years old. Almost 17 years when I was given EKG – partial blockade of right bundle branch block, with this defect, I even passed a medical commission in flying school. This year, during the passage of the commission of Seafarers in the ECG have written complete blockade, and rejected. In March, I did ultrasound of the heart, while examining any comments on the work of the heart was not. I feel good. In principle, not limited by physical exertion (of course within reason). Also, when the last recorded ECG, EKG that carry the load is prohibited. Please, explain to actually complete blockade so dangerous, or doctors are reinsured, and if any restrictions. What you can give advice. Sincerely, Valery.

Answer: It's good that you feel well. Doctors, of course, to a greater extent reinsured, but strictly speaking, they are right: the progression of partial to full blockade may be indicative of a developing pathology of the heart. If you are a smoker, then this is the first step towards the development of chronic pulmonary heart, we must think about this. The sample load in the blockade of right bundle branch block is not dangerous, and impractical, because it allows us to estimate changes in the final part of ventricular complex on ECG under load, ie, to diagnose coronary artery disease. Councils can give only a general nature, not seeing you: do not smoke, drink no more than 20 ml of alcohol in terms of pure alcohol per day (if more – then the inevitable early death), eat less and move more. Trite, but it is much cheaper and more effective than a long, costly and of little help treating the consequences of heart attacks and strokes.

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