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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Be Concerned About Normal Sinus Rhythm, Left Axis Deviation, Incomplete RBBB?

Hi, my name is Debbie and I m 61 years old. I went to my cardiologist today for a check-up. I have been short of breath for quite sometime, but he says that it is normal. I had a quad by-pass 3 years ago. Last week, I had some chest pains and had to take 2 nitro pills. My EKG today said normal sinus rhythm left axis deviation incomplete RBBB. Is that anything that I should be concerned about?
Fri, 12 Jun 2015
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Radiologist,  's  Response
Hello

Your cardiologist has rightly suggested that findings are normal.
Rhythm of sinus is normal and this is a normal finding.

Left axis deviation is also generally a benign finding.It is generally seen in chronic hypertensive patient,inferior myocardial infarction etc.It is generally a benign finding and underlying cause should be tried to control.

Incomplete right bundle branch block(RBBB) is also very commonly seen and can be considered a normal variant of QRS complex. It does not necessarily represent a serious heart condition.

Your symptoms may be due to some other reasons.It should be evaluated.

Get well soon.
Take Care
Dr.Indu Bhushan
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Should I Be Concerned About Normal Sinus Rhythm, Left Axis Deviation, Incomplete RBBB?

Hello Your cardiologist has rightly suggested that findings are normal. Rhythm of sinus is normal and this is a normal finding. Left axis deviation is also generally a benign finding.It is generally seen in chronic hypertensive patient,inferior myocardial infarction etc.It is generally a benign finding and underlying cause should be tried to control. Incomplete right bundle branch block(RBBB) is also very commonly seen and can be considered a normal variant of QRS complex. It does not necessarily represent a serious heart condition. Your symptoms may be due to some other reasons.It should be evaluated. Get well soon. Take Care Dr.Indu Bhushan