Right bundle branch block can be seen in the normal population, without obvious clinical symptoms usually do not need special treatment.
1. When structural heart disease occurs, such as chronic increase in right ventricular pressure, such as pulmonary heart disease, heart failure should be controlled and digitalis and digoxin drugs should be used reasonably.
2. When myocardial ischemia, infarction, or inflammation (myocarditis) is present, rational use of treatment using antiplatelet agents and plaque stabilizers is indicated.
Patients with isolated complete or incomplete RBBB who have no evidence of other cardiac disease and are asymptomatic require no further diagnostic evaluation or treatment. However, patients with RBBB who present with symptomatic conduction system disturbances, such as third- or second-degree type II AV block of nonreversible and transient etiology, require permanent pacemaker implantation.
If right bundle branch conduction block is present, aggressive etiologic clarification in the hospital is required for prompt diagnosis and treatment.