Mild LVH

[sweettooth912]

I am a 59 year old male, 74" and 210lbs., exercise moderately with waist-to-hip ratio=90%, who has been on BP medication (Atacand) for about 5 years and sees cardiologist every 4 months---readings in office are usually 120-130 over 75-80.  I'd prefer getting systolic closer to 110, but neither my GP or cardiologist wish to aim for that.  2 1/2 years ago diagnosed with Type 2 DM, lost 25 lbs. and have maintained A1C below 6% through diet and exercise only.  Recently had 2nd stress test which I passed easily bu indicated "Mild LVH with normal wall motion."  Follow-up with 1st Echocardiogram indicating Ejection fraction of 65% and Trace regurgitation of Mitral, Tricuspid and Pulmonic valves.

Dimensional findings included Aortic Root=36mm, Left Atrium=31mm, Left Ventricle EDD=52mm, ESD=32mm, IVS=11mm, PW=11mm.  All seem to be within 'normal' limits, I think.

How worried should I be about this? The doctor seemed unconcerned.  Is there anything I can do to reduce the hypertrophy, or prevent its increase over time?  Should I be concerned about the Trace regurgitations?

Thanks

[Cleveland Clinic]

Your measurements are within normal limits, however, given history of HTN you are at risk for developing LVH.  Controlling your blood pressure, which you seem to be doing well, should be the primary objective.  The class of medications that atacand falls in is also considered to be very helpful in preventing furhter hypertrophy.  Don't worry about the trace mitral regurgitations.  

[JackHester]

3 weeks ago I had an aortic valve replacement - bovine.  I'm home now and walking at 1.4 to 1.6 1 mile a day.

When I was in the hospital the surgeon told me that I have mild lvh.  My bp is well controlled now and I'm wondering if it will become normal again over time and if so - how long.

They didn't seem concerned about it and I hear ace inhibitors or a very low salt diet help return the heart to it's normal condition.

Any information appreciated

[Bereagal]

I to was diagnosed with mild lvh a few months ago. I do not know my measurements only that my dr. said it was mild. He to seemed unconcerned about it and just said that I needed to control my BP, which is now very well controlled . I was wondering, does having mild LVH mean that the heart is not structurally normal? A very prominent cardiologist in my area was present for my nuclear stress test and he said that the EKG during the stress test showed nothing. Shouldn't the LVH show up on the EKG if it was there? Also, what does an artifact mean on a stress test finding, as my results stated there was artifactual findings?

Thanks