Coronary artery disease and Left Branch Bundle Block

Question: 
Your question:I had a stent put in about 7 years ago now. I recently had a stress test and it was stopped because they said I had a left branch bundle block. Is there a relationship to the blocked arteries that were not proven to need stents a few years ago? is this saying that they are all now blocked and I need more stents? I have no pain and no way to tell that I have the left branch bundle block. What is the treatment or is there one? 

Answer:
The presence of a new left branch bundle block (LBBB) may be associated with progressive coronary artery disease (CAD) and if so, it would increase your risk for a heart attack. If the only finding is a LBBB, w/o other evidence of insufficient blood supply to your heart (called ischemia), an alternative next step to prove more CAD is a CTCA.  The results could indeed prove you have CAD, but since you are asymptomatic (no angina), that doesn't automatically mean you need a stent or bypass surgery unless you have developed so-called Left main disease.
In asymptomatic patients with heart disease, medical treatment is often superior to stenting (the treatment doctors might recommend if they find CAD).
Hope this helps,
Dr T

Comments

Post new comment

The content of this field is kept private and will not be shown publicly.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Allowed HTML tags: <a> <em> <strong> <cite> <code> <ul> <ol> <li> <dl> <dt> <dd>
  • Lines and paragraphs break automatically.

More information about formatting options

CAPTCHA
This question is for testing whether you are a human visitor and to prevent automated spam submissions.
4 + 0 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
By submitting this form, you accept the Mollom privacy policy.