Heart & Cardiology/My heart


Dear dr, I write you from time to time and I'm sorry I always ask the same question. I'm just so stressed out and I don't know what to do. I read online that rbbb and lpfb is rare and I don't understand how I got it and I'm only 31 and I had it since I was 29. Sometimes on my EKG it shows rbbb and sometimes it shows rbbb and lpfb and the lpfb scares me. I read online that 70 percent of my case progress to complete heartblock, is that true?im so scared I might need a pacemaker one day. It would be easier to accept if I was 50. I don't have heart disease as of now and for almost 2 years now my EKG hasn't changed. It confuses me that I have rbbb and sometimes rbbb and lpfb. What can I do to help my heart so it won't progress to complete heart block?i stopped all of my past bad habits. I've been clean for two years.  Please get back to me. Thank you so much. Sincerely, Martha

Hello Martha,

The odds are about 80 to 20 that you will never need a pacemaker.  You can help keep your heart healthy by exercising a lot, eating a heart-healthy diet, keeping you blood pressure and blood cholesterol within normal limits, and of course not smoking.

Please write back if this doesn’t answer all your questions.

David Richardson

Heart & Cardiology

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David Richardson


Adult heart function and disease. Not very good about children lesss than 12. Hypertension is o.k. Heart rhythm a special interest.


Certified in cardiology by the American Board of Internal Medicine. Was chairman of division of cardiology at the Medical College of Virginia. Am now mostly retired.

Fellow of American Heart Association and American College of Cardiology and member of American Physiological Society..

Circulation, American Heart Journal, Hypertension.

M.D. from Harvard Medical School. Residency training at Yale Uhniversity School of Medicine and Medical College of Virginia.

Awards and Honors
Gold Heartt Award from American Heart Association in 1995.

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