# LBBB and Training

**URL:** <https://forum.barbellmedicine.com/t/lbbb-and-training/14536>\
**Category:** Medical Q&A \[Moderated\]\
**Created:** [May 1, 2024, 1:21pm UTC](https://forum.barbellmedicine.com/t/lbbb-and-training/14536 "2024-05-01T13:21:36Z")\
**Posts on this page:** 6\
**Page:** 1

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**Author:** ![mbdonner](https://avatars.discourse-cdn.com/v4/letter/m/13edae/32.png) [@mbdonner](https://forum.barbellmedicine.com/u/mbdonner)\
**Post date:** [May 1, 2024, 1:21pm UTC](https://forum.barbellmedicine.com/t/lbbb-and-training/14536/1 "2024-05-01T13:21:36Z")

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Recently had an EKG and they found a Left Branch Bundle Block (LBBB). I had an MI and a stent five years ago, but no problems until now. Is there any relationship between this sort of thing and weight training? Is there anything I can do to mitigate the effects (although I don’t really know what the effects are)?

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**Author:** ![Austin\_Baraki](https://sea1.discourse-cdn.com/flex001/user_avatar/forum.barbellmedicine.com/austin_baraki/32/1095_2.png) [@Austin\_Baraki](https://forum.barbellmedicine.com/u/Austin_Baraki)\
**Post date:** [May 1, 2024, 5:02pm UTC](https://forum.barbellmedicine.com/t/lbbb-and-training/14536/2 "2024-05-01T17:02:11Z")

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You state, “no problems until now” – what problems are happening now? Why did you get the EKG done?

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**Author:** ![mbdonner](https://avatars.discourse-cdn.com/v4/letter/m/13edae/32.png) [@mbdonner](https://forum.barbellmedicine.com/u/mbdonner)\
**Post date:** [May 2, 2024, 2:10pm UTC](https://forum.barbellmedicine.com/t/lbbb-and-training/14536/3 "2024-05-02T14:10:09Z")

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It was a routine follow up appointment with my cardiologist. I was going to have a stress echo. They started with an EKG and identified the LBBB. I’m now doing it all, i.e.14-day monitor, sonogram and a CAT scan in a few weeks. I’m not particularly symptomatic, although I have had some light-headedness that I was told might be related to Tirzepatide. Otherwise, I have been lifting twice a week and Jiu Jitsu three times a week and feeling good.

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**Author:** ![mbdonner](https://avatars.discourse-cdn.com/v4/letter/m/13edae/32.png) [@mbdonner](https://forum.barbellmedicine.com/u/mbdonner)\
**Post date:** [May 2, 2024, 2:30pm UTC](https://forum.barbellmedicine.com/t/lbbb-and-training/14536/4 "2024-05-02T14:30:44Z")

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I should add that I have had EKG’s over the last few years, and the LBBB was not identified. Whatever this is, it arose in the last year.

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**Author:** ![Austin\_Baraki](https://sea1.discourse-cdn.com/flex001/user_avatar/forum.barbellmedicine.com/austin_baraki/32/1095_2.png) [@Austin\_Baraki](https://forum.barbellmedicine.com/u/Austin_Baraki)\
**Post date:** [May 2, 2024, 4:04pm UTC](https://forum.barbellmedicine.com/t/lbbb-and-training/14536/5 "2024-05-02T16:04:44Z")

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Hi,

This is getting a bit into the weeds for a forum discussion, but if you had a routine follow up with your cardiologist and have not been experiencing any changes, new symptoms, or limitations, I am not sure that launching an extensive evaluation for LBBB is necessarily needed – but I can’t speak to all of the pertinent details in your specific situation that may be influencing the cardiologist’s recommendations.

However, LBBB can arise for a number of reasons, including ischemic heart disease. To your original question, while it is possible for people to have exercise-induced LBBB, this is not something that I would attribute to exercise in your situation with the MI history, nor is there any specific exercise adjustment that needs to be made as a result of finding it, assuming you are tolerating your training well.

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**Author:** ![mbdonner](https://avatars.discourse-cdn.com/v4/letter/m/13edae/32.png) [@mbdonner](https://forum.barbellmedicine.com/u/mbdonner)\
**Post date:** [May 2, 2024, 4:07pm UTC](https://forum.barbellmedicine.com/t/lbbb-and-training/14536/6 "2024-05-02T16:07:26Z")

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Thanks. I was curious about the training relationship question. Appreciate the input as always.
