Whirlybird..
this is from Ftr. Mrs. Wayne...
As a Cardiac Physiologist who does these tests daily, your situation seems ridiculous. First off, RBBB is a conduction abnormality which doesn't warrant any concern unless your ECG showed up other problems such as Left Axis Deviation. (If you have a problem with both the right and left sides of the heart this can be more serious but would need more factors again to make it of great concern.) However, to only have RBBB is not really a problem. On this side of the heart there are various other conduction pathways that can be used to make the heart contract.
With regards to the tests that they are asking you to do, I can't see the sense. A 24 hour ECG tape seems the most reasonable thing to do, yet this will just show a bundle branch block morphology, which we already know you have from your resting ECG. I can't imagine it showing up anything else if you are otherwise fit and healthy. Not sure how much you're being charged for this, my hospital charges 160 pounds to put it on and analyse the results as well. (though the cost varies regionally, I'm in Surrey)
The echo seems utterly pointless. This looks at the structure of the heart and having established you have an 'electrical fault' not a structural one, this won't give any info on the bbb. Lets hope nothing else structural is found though!
The Exercise test looks at ischemic heart disease. Again, this is structural (whether you have blocked coronary arteries) and they are also notoriously more difficult to do on someone that has RBBB as the morphology on the ECG is different anyway. So again, can't imagine they are going to find anything there. You should do about 9-12 mins (it's on a set protocol) and then that shows there is absolutely nothing wrong with you.
Can't believe how they are not giving you the full medical classs 1. RBBB is nothing to worry about and had you not had an ECG as a routine you probably would never have noticed anything was wrong with you!
GRRR!!!!
