心電圖報告

不完全性右束傳導阻滯 = Incomplete Right Bundle Branch Blockage, Heart Block 的一種。下面的資料話要裝心脈起搏器 pacemaker 或 cardiac resynchronization pacing or CRT 先得。睇黎你要帶埋份報告去看心臟專科醫生 seek second opinion 好 d Bor！Check 到無事，買個安心都好丫！記得話你“3年內心口都有痛的現象，痛楚時間只有幾秒，但每天都出現幾次。”呀。

圖片參考：http://www.fashionguide.com.tw/Forum/ImgMsg/2007/0528/182740917.jpg

左右束枝傳導阻滯 (RBBB ; LBBB)
左、右束支傳導阻滯及左分支前、後分支傳導阻滯。臨床上除心音分裂外無其它特殊表現。診斷主要依靠心電圖。
l 左束支阻滯常表示有彌漫性的心肌病變。最常見的病因為冠心病、也見于高血壓病、風濕性心臟病、急性及慢性肺原性心臟病、心肌炎、心肌病、傳導系統的退行性疾病
l 右束支傳導阻滯者無心臟病的証據，這種孤立的右束支傳導阻滯常見，其發生率隨年齡而增加。
http://www2.kfsyscc.org/sophia/pejournal/cardiology/arrythmia.htm#rbbb
Treating BBB
As we have noted, the heart depends on the bundle branches. Without them, the electrical impulse is not delivered to the ventricles. Block in both bundle branches, therefore (a condition called complete heart block,) can be fatal.
Fortunately, it is quite uncommon for stable RBBB or LBBB to progress to complete heart block. Thus, despite the fact that BBB is a common finding on routine ECGs, it is an uncommon reason for implanting pacemakers.
Still, there are a few conditions in which people with bundle branch block require pacemakers:
1) When “conduction system disease” is bilateral, and is associated with a heart attack:We have previously noted that RBBB plus left anterior hemiblock should not be particularly alarming. This is true except in this one instance – where the block occurs acutely with a heart attack. Here, the conduction system disease tends to be unstable, and can progress to complete heart block. These patients often need pacemakers.
2) When bundle branch block is associated with syncope (loss of consciousness):When a patient with bundle branch block experiences syncope, in general an electrophysiology study should be considered to test for impending complete heart block. A permanent pacemaker eliminates the problem.
3) In certain patients with dilated cardiomyopathy:In patients who have dilated cardiomyopathy and either complete or incomplete bundle branch block, a new form of pacing – called cardiac resynchronization pacing or CRT – has now been shown to improve symptoms and to prolong life. CRT should now be strongly considered in any patient with heart failure and bundle branch block. Click here to read more about CRT.
As we have seen, bundle branch block causes the ventricles to beat sequentially (one after another) instead of simultaneously. This discoordination of the normal pattern of ventricular contraction diminishes the efficiency of the heart beat. In a person with a normal heart, the loss of efficiency is inconsequential. But in a person with dilated cardiomyopathy this loss of efficiency can be critical, and can contribute greatly to symptoms of heart failure. Resynchronization pacing restores much of this efficiency by pacing both the right and left ventricles simultaneously. In patients who have heart failure from dilated cardiomyopathy and bundle branch block, resynchronization pacing has become an important component to therapy.
http://heartdisease. about.com/cs/arrhyth mias/a/BBB_4.htm

borderline者....observe 下先啦 ! 唔駛咁嚴重要 pacemaker !

我都去過私家診所照心電圖，
個醫生都話我有rbbb，(但唔知係唔係imcomplete)
但係佢話我個心照樣係funtional......

其實我都唔跳呢個病會帶黎咩影響，
但係我個醫生話我係天生，無計......

免強正常要小心一點８