Hi - I am a 32 year old male. I am hypertensive for the last 2-3 years and had a BP of 150/100. The doctor has now put me on Telmisartan 40 mg and Amlodipine 5 mg (it is one tablet per day) for 2 weeks. My BP has now reduced to 140/80. I was asked to take a 2D echo and a tread mill test yesterday and here are the findings :
1. 2-D Echo findings - Mild LVH. LVID-d : 3.92mm, LVID-s : 2.06 mm, LVPW-d : 1.22 mm, LVPW-s:1.64 mm, IVS-s : 1.11 mm, IVS-d : 1.27 mm, EF-70%.
Normal LV Systolic function (EF 70%). No regional wall motion abnormality. No valvular lesion, no LV clot. Concentric LVH. No TR, no PAH.
Stress test (Treadmill) results were normal : Adequate HR BP response. Normal Haemodynamic response, Normal Chronotopic response. No Angina, No ST changes. TMT is negative for IHD.
My questions are :
1. Are my echo measurements way too abnormal (considering my age is just 32) ? Is this condition reversible?
2. Is the prescribed medication okay ?
3. If I make lifestyle modifications , would i be able to completely stop this medication and get my BP back under control?
My cardiologist advised me not to worry too much about the 2-D echo measurements and to concentrate on getting my blood pressure below 120/80. Am a little worried that I am diagnosed with concentric LVH at such an young age.
Any thoughts and direction apart from my specific question.
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