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-   -   Right Bundle Branch Block (RBBB) (https://www.pprune.org/medical-health/383852-right-bundle-branch-block-rbbb.html)

belongins 1st Feb 2010 18:45

Whirls

Sorry I havent read all 4 pages of this thread but just to try and reduce any worry you have I too have got a RBBB and i am class 1 fit and flying:D

My mother had it really bad and had some ablative surgery and is now totally fine.
My bro (28) has is worse than me and not as bad as my mum and has some drugs from time to time.
I (36) havent had any issues (skips etc) since i last had mine looked at via the NHS circa 2007.

Via the NHS I followed the following route.
1995 GP referal - hospital, 24hr ECG and an ultrasound check out - all ok and nothing on he ECG.
Then in 2007
GP referral following an increase in the frequency of flutters from a skip here or there once every few months to several a day
Consultant referral
24 ECG
Numerous imaging including more ultrasound
Consultant check out - all fine. In fact he said dont let it stress you out hahaha

I then got the NHS records people (very helpful) to ship to me ALL of my records regarding my incomplete RBBB and hey presto handed them over to my Gatwick C1 examiner who was over joyed and has kept them on file....Yes i have my own copy to replace the ones they may loose:)

The C1 examiner praised the fact that i had compiled these records citing that if i come accross a difficult examiner in any furture C1 renewals i can just point to my records which all say I am fine.

I really hope this helps.
B

Whirlybird 2nd Feb 2010 08:14

Belongins,

Thanks, but that is actually irrelevant to my case. INCOMPLETE RBBB doesn't require any treatment or extra tests, and won't prevent you holding a Class 1. This is stated somewhere in the CAA protocol, which I think someone has given the link to forther back in this thread. COMPLETE RBBB, which I have, does need further tests. If you'd read the thread, you'd gather that my tests were all fine, and following another exercise ECG next August, I should get my unrestricted Class 1 back, with no other extra tests required, EVER.

Not meaning to sound critical of you, just giving the facts.

DX Wombat 3rd Feb 2010 11:11

Whirly, I was wondering how you were getting on but didn't like to ask. Glad to hear things seem to be going well for you. :)

anotherthing 3rd Feb 2010 11:25

I have a full RBBB.

It was investigated at OASC when I joined the RN to fly - I never even got told about it at the time and nevr knew I had one... it is so inconsequential.

The only reason I found out about it was when I went for an RN pre diving course medical several years later - the duty PMO came into the room to speak to me (he wasn't doing my medical but had been asked for advice on the ECG), because he said he thought he had recognised the ECG. Turns out he had done my initial medical at Haslar many moons ago.

Again, no problems with the fact I had a RBBB, so I was able to both fly and dive for the military.

Several years later at a loose end, joined NATS and as it was an initial issue of a CAA class 1 medical, I had to undergo a 24hr tape test. Again, it proved that it was 'just' a RBBB and there has been no problem ever since.

Every time I have an ECG, the RBBB shows (obviously), but it is never an issue as it is stated on my notes that I have RBBB.

The only reason it is investigated in the initial issue medical is to ensure that the abnormal ECG is only due to an RBBB and not masking anything else.

Whirlybird 4th Feb 2010 07:20

And they don't like it if you've previously had normal ECGs and suddenly develop RBBB, in case it's indicative of something more serious. Mine doesn't appear to be, but they still insist on testing me again in a year to make sure.

Whirlybird 29th Aug 2010 20:44

An Update
 
The year is up, and I just did another horrible exercise ECG. Nothing untoward was found; in fact, the RBBB this time was incomplete. The cardiologist has no explanation whatsoever for this as it should be impossible for it to reverse!!! However, once the CAA have see the results and all the paperwork is done, I should have my unrestricted Class 1 back again. I have no instructing work, but it's nice to know that if there is any I'm legal to do it again!

air pig 1st Sep 2010 04:50

Hey Whirlybird,

Fantastic you aced the exercise test, b'stard things, useful only for torturing politiicans.

Good luck flying.

Regards.

Air pig:ok:

allin121 15th Sep 2010 14:56

Hello,

nice to share the information which is important for me and others also to see.I hope that you will share that type of info in future also

thanks!!


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