Incomplete Right Bundle Branch Block and Its Impact on Judo Training

Incomplete right bundle branch block

I usually practice judo, and currently, I have pain in my right chest, but it doesn't hurt all day.
An orthopedic doctor said it is caused by a cervical vertebra pressing on a nerve, and it won't affect my breathing or daily activities.
During my physical examination, the report indicated an incomplete right bundle branch block.
This chest pain should not be related, right? Can I continue practicing judo? My family keeps using this as a reason to stop me, even though the doctor has already said it's a bone issue...

Niming, 10~19 year old female. Ask Date: 2020/02/22

Dr. Lin Jixiong reply Cardiology

Incomplete right bundle branch block generally does not present with significant clinical symptoms, so treatment is not necessary.
Patients with accompanying symptoms often exhibit clinical manifestations of underlying diseases, which require treatment of the primary condition.
Chest pain can be categorized as either cardiac or non-cardiac.
Cardiac chest pain, commonly referred to as angina, typically has the following characteristics: 1.
It lasts for several minutes (2-10 minutes), is described as pressure or tightness, and may cause shortness of breath (like an elephant sitting on the chest).
2.
It may radiate to the jaw, left arm, or other areas.
3.
It is usually triggered by physical activity or emotional stress and improves with rest.
4.
It is more common in patients with risk factors for coronary artery disease, such as: age (men >45 years or women >55 years or postmenopausal), hypertension, hyperlipidemia, diabetes, smoking, a family history of early coronary artery disease, and a sedentary lifestyle.
Based on your symptom description, it does not align with typical angina, so you can be reassured.
However, if symptoms persist, it is still recommended that you consult a cardiologist for a thorough examination.
Dr.
Hsueh-Ming Wu, Department of Cardiology, Taoyuan Hospital.

Reply Date: 2020/02/22

More Info

Understanding an incomplete right bundle branch block (IRBBB) and its implications for your judo training is essential, especially given your current symptoms and concerns. An IRBBB is a condition where there is a delay or blockage in the electrical impulses that travel through the right bundle branch of the heart's conduction system. This can lead to changes in the heart's rhythm but is often asymptomatic and does not necessarily indicate a serious underlying heart condition.

Firstly, it’s important to clarify that an IRBBB itself is generally not a cause for concern in healthy individuals, particularly if there are no accompanying symptoms such as dizziness, fainting, or significant shortness of breath. Many athletes, including those involved in high-intensity sports like judo, can have an IRBBB and continue to train without any adverse effects. However, it is crucial to monitor your overall cardiovascular health, especially when engaging in physically demanding activities.

Regarding your right chest pain, it is reassuring that a bone specialist has attributed it to cervical spine issues rather than a cardiac origin. Nerve compression in the neck can indeed cause referred pain to the chest area, which may feel concerning but is typically manageable with appropriate treatment. If your doctor has confirmed that this pain is not related to your heart, it is likely safe to continue your judo training, provided you listen to your body and avoid movements that exacerbate the pain.

It is also wise to consider the following points:
1. Consultation with a Cardiologist: If you have not already done so, it may be beneficial to consult a cardiologist. They can provide a more comprehensive evaluation of your heart's health and the significance of the IRBBB in your case. They may recommend an echocardiogram or stress test to ensure your heart can handle the physical demands of judo.

2. Monitoring Symptoms: Pay close attention to how your body responds during training. If you experience increased chest pain, shortness of breath, or any other concerning symptoms, it is crucial to stop training and seek medical advice.

3. Neck and Back Care: Since your chest pain is related to neck issues, consider working with a physical therapist who specializes in sports injuries. They can help you with exercises to strengthen your neck and back, improve posture, and alleviate nerve compression.

4. Gradual Return to Training: If you decide to continue training, consider easing back into it. Start with lighter drills and gradually increase intensity as your body allows. This approach can help you gauge how your body responds without overexerting yourself.

5. Family Concerns: Addressing your family's worries about your IRBBB and chest pain is important. Share the information from your healthcare providers with them to alleviate their concerns. Emphasize that you are taking the necessary precautions and that you have medical support.

In conclusion, while an incomplete right bundle branch block can sound alarming, it is often a benign condition, especially in the absence of other symptoms. Your right chest pain, likely stemming from cervical spine issues, should be managed appropriately, allowing you to continue your judo training with caution. Always prioritize your health and safety, and maintain open communication with your healthcare providers and family regarding your training and any symptoms you experience.

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