Left Ventricular Hypertrophy. Is this a serious condition?

The BOTTOM LINE here, my friend....is that you MUST find a new doctor soon. First of all, the heart is nothing to mess with. You NEED a doctor that informs you of your diagnoses WITHOUT you practically begging.!!!! Really, please do start looking for a different Cardiologist! RIGHT AWAY!

Second......

Left ventricular hypertrophy (LVH) is the thickening of the myocardium (muscle) of the left ventricle of the heart. While ventricular hypertrophy can occur naturally as a reaction to aerobic exercise and strength training, it is most frequently referred to as a pathological reaction to cardiovascular disease.

While LVH itself is not a disease, it is usually a marker for disease involving the heart. Disease processes that can cause LVH include any disease that increases the afterload that the heart has to contract against, and some primary diseases of the muscle of the heart.

Causes of increased afterload that can cause LVH include aortic stenosis, aortic insufficiency, and hypertension. Primary disease of the muscle of the heart that cause LVH are known as hypertrophic cardiomyopathies.

Diagnosis

The principle method to diagnose LVH is echocardiography, during which the thickness of the muscle of the heart can be measured. The electrocardiogram (ECG) often shows signs of increased voltage from the heart in individuals with LVH, so this is often used as a screening test to determine who should undergo further testing with an echocardiogram.

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Please take your heart health seriously, and get with someone who actually INFORM you. Accordingly, I would refrain from any aerobic activity. God Bless you.

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RE:

Left Ventricular Hypertrophy. Is this a serious condition?

I recently experienced some chest pains and consequently attended the A&E department of the local hospital. I under went a series of tests and was told everything was ok except I have a mild case of left ventricular hypertrophy.

For several months I have been receiving treatment for...

No, you should not be overly concerned about this as it is most likely a normal varient. I will explain why. Simply your heart is a muscle, and when you work a muscle it get's bigger. Well this is what hypertrophy is. An enlargement of the heart muscle, and in your case the Left Ventricle. Why? That is the chamber that pumps the blood throughout your body. Basically you have built it up yourself as a body builder would build his biceps.

Your hypertension is something to keep an eye on! Since you have a STRONG family history it is just a given that you would have it as well. At 150/90 you are right at the borderline for this condition. It is the lower number that you are concerned with.

Your systolic pressure 150 is the high for when your heart beats, and your Diastolic pressure is the level that remains when your heart is at rest between beats. This Diastolic or contant pressure is the bad guy. The goal is to keep it below 90 mmhg.

:O)

Jerry

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Normal thickness of the left ventricular myocardium is from 0.6 to 1.1 cm (as measured at the very end of diastole. If the myocardium is more than 1.1 cm thick, the diagnosis of LVH can be made. Treatment for left ventricular hypertrophy focuses on the underlying cause of the condition. Depending on the cause, treatment may involve medication or surgery. Treatment for high blood pressure usually includes both medications and lifestyle changes, such as regular exercise; a low-sodium, low-fat diet; and no smoking. In addition to lowering blood pressure, some high blood pressure drugs may prevent further enlargement of left ventricle muscle tissue and may even shrink your hypertrophic muscles.

Go to a cardiologist. They can give you much better info than your general doctor. I have been workign with them for about a year now and they know EVERYthing there is to know about a heart. LVhypertrophy means that because of your high bp, your ventricle has been enlarged- mildly, as your doctor put it. Many people live with this condition and I wouldn't worry too much. Please continue exercising(keeps the blood pumping and your body healthy!)- if you experience chest pain, I would definitely go back to the ER. Did he give you nitro spray? You can use that if you experience chest pain- one spray under tongue, wait 5 minutes, if pain doesn't go away you may spray under tongue again. You may do this three times. (3 sprays total)

What is your ejection fraction? How's your cholesterol? As for more answers, I would ask a specialist, just for peace of mind. =)

Ventricular hypertrophy (i.e., increased ventricular mass) is an adaptation by the ventricle to increased stress, such as chronically increased volume load (preload) or increased pressure load (afterload). It is a physiological response that enables the heart to adapt to increased stress; however, the response can become pathological and ultimately lead to a deterioration in function. For example, hypertrophy is a normal physiological adaptation to exercise training that enables the ventricle to enhance its pumping capacity. This type of physiologic hypertrophy is reversible and non-pathological. Chronic hypertension causes ventricular hypertrophy. This response enables the heart to maintain a normal stroke volume despite the increase in afterload. However, over time, pathological changes occur in the heart that lead to a functional degradation and heart failure.

If the precipitating stress is volume overload, the ventricle responds by adding new sarcomeres in-series to existing sarcomeres, which causes ventricular dilation while maintaining normal sarcomere lengths. The wall thickness normally increases in proportion to the increase in chamber radius. This type of hypertrophy is termed eccentric hypertrophy.

In the case of chronic pressure overload, the chamber radius may not change; however, the wall thickness greatly increases as new sarcomeres are added in-parallel to existing sarcomeres. This is termed concentric hypertrophy. This type of ventricle is capable of generating greater forces and higher pressures, while the increased wall thickness maintains normal wall stress. This type of ventricle becomes "stiff" (i.e., compliance is reduced) which can impair filling and lead to diastolic dysfunction.

Treatment for left ventricular hypertrophy focuses on the underlying cause of the condition. Depending on the cause, treatment may involve medication or surgery:

Treating high blood pressure.

High blood pressure is the most common cause of left ventricular hypertrophy. Doctors often prescribe medications to lower blood pressure, such as "water pills" (diuretics). Severe high blood pressure requiring intensive care may be treated with drugs given through a vein (intravenous) called diazoxide and sodium nitroprusside. Your doctor may also recommend that you follow a low-salt diet.

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