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Left ventricular hypertrophy and PA pressure
Hi,
My husband, who is 32, recently had a physical. His EKG was normal but since a "murmur" was heard and he has a strong family history of valve disease, an echocardiogram was also performed. When the echo came back, the doctor's nurse called and told us these results:
Ejection fraction - 55%-60%.
Mild tricuspid and mitral valve regurgitation.
PA pressure - 26-30 mmHg.
The nurse originally stated that we should keep an eye on his blood pressure and have the echo repeated in a year. We got a call back stating that the my husband also had mild left ventricular hypertrophy. We were told that he doesnt necessarily need to see a cardiologist but that he should come back in to talk to the doctor about possibly going on a low dose medication.
I dont have the echocardiogram report in hand (yet). But here are some measurements I was given over the phone by the receptionist (not the nurse). I was looking for the Left ventricular mass as well as wall thickness. This is what she gave me:
LVPWV 1.29
LV02 Dim 2.32
LA dim 3.5
LVID 4.49
LVFF 32%
LV02 Max 107.40
Do any of these numbers look abnormal? I know the Ejection fraction is within normal limits. PA pressure is high normal? My husband is not currently on any medication except for Zantac for acid reflux. He is about 15-20 pounds overweight and is a smoker (He will be starting Chantix in about 2 weeks).
Can anyone here, a doctor or patient with similar experience, give me an opinion about whether my husband needs to be on a low dose medication ( I am assuming it will be an ARB, ACE or other blood pressure lowering medication). Again, he doesnt have hypertension as far as we know, but is in the prehypertensive range.
Thanks!
My husband, who is 32, recently had a physical. His EKG was normal but since a "murmur" was heard and he has a strong family history of valve disease, an echocardiogram was also performed. When the echo came back, the doctor's nurse called and told us these results:
Ejection fraction - 55%-60%.
Mild tricuspid and mitral valve regurgitation.
PA pressure - 26-30 mmHg.
The nurse originally stated that we should keep an eye on his blood pressure and have the echo repeated in a year. We got a call back stating that the my husband also had mild left ventricular hypertrophy. We were told that he doesnt necessarily need to see a cardiologist but that he should come back in to talk to the doctor about possibly going on a low dose medication.
I dont have the echocardiogram report in hand (yet). But here are some measurements I was given over the phone by the receptionist (not the nurse). I was looking for the Left ventricular mass as well as wall thickness. This is what she gave me:
LVPWV 1.29
LV02 Dim 2.32
LA dim 3.5
LVID 4.49
LVFF 32%
LV02 Max 107.40
Do any of these numbers look abnormal? I know the Ejection fraction is within normal limits. PA pressure is high normal? My husband is not currently on any medication except for Zantac for acid reflux. He is about 15-20 pounds overweight and is a smoker (He will be starting Chantix in about 2 weeks).
Can anyone here, a doctor or patient with similar experience, give me an opinion about whether my husband needs to be on a low dose medication ( I am assuming it will be an ARB, ACE or other blood pressure lowering medication). Again, he doesnt have hypertension as far as we know, but is in the prehypertensive range.
Thanks!
Find your husband another doctor. If this is "true" HCM, then he needs to be followed by a cardiologist every year. HCM, IF that is what this is, can result in arrhythmias (irregular heart beats) and could cause a sudden death event. I am not saying your husband has this, but a primary doctor is not the one to determine that. He shoulfd not let this slide. My own daughter went through the wait a year idea and ended up with a transplant because her heart disease progressed to that point. Get a second opinion.
Hi, thanks for the response. My husband's doctor has elected to repeat the echo in a year to keep an eye on progression, if any, and any followup needed.
MM
MM
When your hiusband goes in to see the doctor, he should ask to be evaluated by a cardiologist; that's the field of issue here. HBP can cause the heart muscle to thicken over time, but it can also be a genetic issue, you need to know which it is. Take care
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