If u have no major symptoms like palpitations, pain, dizziness, blackouts then no need to worry about it. It's often normal. You can consult with cardiologist for another Echo

Consult superspecialist cardiologist

Your ECG shows: • Large P wave in V1 (PTFV1 – P terminal force in V1) • Complete RBBB (Right Bundle Branch Block) Previous 2D Echo (6 months ago): • Mild MVP (Mitral Valve Prolapse) • No MR (No Mitral Regurgitation) Let’s interpret calmly. ✔ Complete RBBB In many people, especially younger individuals, isolated RBBB can be: • Benign • Incidental finding • Not associated with structural heart disease If your echo was normal except mild MVP, that is reassuring. ✔ Large P terminal force in V1 This suggests possible: • Left atrial enlargement (LAE) But ECG alone is not definitive. Echo is more reliable for atrial size. Since your echo 6 months ago did not show significant abnormality, this reduces concern. ✔ Mild MVP without MR Mild MVP without regurgitation is usually: • Benign • Requires periodic follow-up • Does not cause serious issues alone

Kindly consult

Your ECG shows right bundle branch block, which is often seen in young people and is usually not dangerous if echo is normal. Mild MVP without leakage is also generally harmless.

Please share his medical history and symptoms,  then I can help you.

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In young adults, complete RBBB can be a normal variant. If you have no symptoms, No emergency treatment needed.Repeat echo every 1–2 years . Maintain heart-healthy lifestyle like Stop smoking (very important),Regular moderate exercise,Avoid excess caffeine if you get palpitations.

Need a few more details please consult for further evaluation and treatment

Right bundle block, usually not dangerous

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Do consult

Complete rbbb