DodMerb - Incomplete Right Bundle Branch Block

ddrun

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Jan 23, 2017
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7
Good Morning, I am new to these forums and I am seeking some information. I apologize if this is posted in another thread but I searched and no results came up. Is anyone on here familiar with an incomplete right bundle branch block? Is it medically disqualifying? My DS is a varsity cross country and track athlete and has never had any cardio/respiratory issues however when he had the flu, he got up quickly from the couch and fainted, he came to quickly but we took him to ER where he had labs and an EKG done. All labs were normal but this issue of the IRBBB came up. We are following up with a cardiologist of course and the ER doctor said "don't lose sleep" over it but I was hoping someone on here could shed some light?
 

5Day

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Nov 18, 2015
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l. In the absence of cardiovascular symptoms, the following meet the standard:
(1) Sinus arrhythmia.
(2) First degree AV block (426.11).
(3) Left axis deviation of less than -45 degrees.
(4) Early repolarization.
(5) Incomplete right bundle branch block.
(6) Wandering atrial pacemaker (427.89) or ectopic atrial rhythm (427.89).
(7) Sinus bradycardia (427.81).
(8) Mobitz type I second-degree AV block (426.13).
 

ddrun

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Jan 23, 2017
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Thank you so much for your help and quick reply, very much appreciated!
 

5Day

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Nov 18, 2015
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Keep good records and documentation. Make sure you can document "No cardiovascular symptoms".
 

Cerberi

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Nov 22, 2015
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Not sure where you are in the application process (current year candidate or a year plus away) and what if anything DoDMERB has been told. I am not a doctor, but it sounds like IRBBB is a symptom of other potential underlying conditions. What I can tell you is don't list on DoDMERB that your DS has IRBBB until the cardiologist confirms it (or at least seek their guidance on how to complete the form.)

Many people have put down on the DodMERB form that they were at one time diagnosed with something when follow-up visits actually rule that initial/potential diagnosis was incorrect. But what happens if you put it on the form, it can be disqualifying and you spend a great deal of time explaining to DoDMERB that the initial diagnosis was deemed to be incorrect.

Doctors may run a lot of stuff to rule things out and they may even list an initial diagnosis to justify the tests, but this doesn't mean the diagnosis is correct.

I am in no way suggesting that you hide anything from DoDMERB, but while your DS is still being evaluated - don't rush to claim that a diagnosis has been made.

Hopefully, your DS just had a bad day and passed out. (My DD had a single fainting episode in high school - (she is now at USNA) she listed it and that a doctor evaluated her and it was just a combination of being in a hot church, poor hydration, and standing up too quickly)

I hope and pray your DS has no serious condition, but I do caution you on jumping the gun to report to DoDMERB until whatever it is - is confirmed and it appears you are seeing a cardiologist to get a final confirmation.

(Sorry if this appears rambling, but the DoDMERB threads are full of examples of people trying to explain away an initial diagnosis that proved to be incorrect)
 

ddrun

New Member
Joined
Jan 23, 2017
Messages
7
Not sure where you are in the application process (current year candidate or a year plus away) and what if anything DoDMERB has been told. I am not a doctor, but it sounds like IRBBB is a symptom of other potential underlying conditions. What I can tell you is don't list on DoDMERB that your DS has IRBBB until the cardiologist confirms it (or at least seek their guidance on how to complete the form.)

Many people have put down on the DodMERB form that they were at one time diagnosed with something when follow-up visits actually rule that initial/potential diagnosis was incorrect. But what happens if you put it on the form, it can be disqualifying and you spend a great deal of time explaining to DoDMERB that the initial diagnosis was deemed to be incorrect.

Doctors may run a lot of stuff to rule things out and they may even list an initial diagnosis to justify the tests, but this doesn't mean the diagnosis is correct.

I am in no way suggesting that you hide anything from DoDMERB, but while your DS is still being evaluated - don't rush to claim that a diagnosis has been made.

Hopefully, your DS just had a bad day and passed out. (My DD had a single fainting episode in high school - (she is now at USNA) she listed it and that a doctor evaluated her and it was just a combination of being in a hot church, poor hydration, and standing up too quickly)

I hope and pray your DS has no serious condition, but I do caution you on jumping the gun to report to DoDMERB until whatever it is - is confirmed and it appears you are seeing a cardiologist to get a final confirmation.

(Sorry if this appears rambling, but the DoDMERB threads are full of examples of people trying to explain away an initial diagnosis that proved to be incorrect)


Thank you! Yes, I have no intentions of listing something that has not been confirmed by a cardiologist. I'm hoping that it was just a one time thing caused by flu fever and dehydration.
 

texasmom4

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Jan 22, 2017
Messages
58
I am a NP (Geriatric-opposite end of life!!). My first question that comes to mind is why did your DS have an EKG? Was this a cardiac event?

My hopes are that you have read the top of the EKG paper and the paper told you that the machine identified an incomplete bundle branch blockage. The machine measures time/height to identify abnormalities and is not usually correct. You received excellent advice to see a cardiologist for further evaluation.
 

CNJ

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Jan 27, 2017
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2
Another NP here... I think the conditions listed above are considered qualifying because they're often normal variants in people (in other words, weird EKG and no problems...ever). In other words, Texasmom4's post is spot on! :)
 
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