Quote:"The 2004 physical had an EKG. On the EKG in my records was typed in (from whomever) "incomplete right BBB" (bundle branch blockage, I guess) and "possible inferior infarction"
I don't want to unnecesaarily alarm you, but my interpretation is there is blockage of right bundle branch (pathway for electrical signals), but obviously the signals have made new pathways bypassing the block. Infarction is lack of oxygen to an area of the heart muscle and will cause the tissue will die due to a lack of oxygen. This would explain the blockage.
Quote:"Received antibiotics in 2001. Today I read the notes from that visit and it mentions I have an S4 gallop"
There are 4 different ausculations and the sounds are labeled (S1, S2, S3, S4) and the stethoscope picks up the sound or lack there of. S4 is a sound by the atrial contraction and ventricular filling, but rarely audible from a normal heart. It is more likely to be heard if left ventricle is non-compliant (heart failing to meet system's demand).
My history and physical report states I have a S4 gallop at the apex. Due to a silent MI I have very little movement (contraction) at the apex of the heart due to damaged muscle on the left side and that gives me CHF.
No follow up treatment for the observations as stated in your health report is strange. An abnormal EKG should call for additional testing such as an echo.