Aa
A
A
Close
Avatar universal
Concentric Hypertrophy
I found to have high BP ( 160/90) 3 days back and suggested to undergo 2D echo along with all other tests. 2D echo diagnosed LV concentric hypertrophy. My all other tests ( renal doppler, USG, LFT, cholesterol, CBC, kidney function) are normal. Last night my doctor started medicine ( 40mg of temlisartan). I am 30 year old with no family history of hypertension. I would like to know is Concentric Hypertrophy reversible? Will my LV come to normal if I follow all medicines and take all precautions. Manoj, India.
Cancel
1 Answers
Page 1 of 1
367994 tn?1304957193
Concentric hypertrophy involves thickness of the heart walls, the chamber radius may not change.  The underlying cause for this condition is a heart that has been overworked due to high blood pressure (usually).  

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"  which can impair filling and lead to diastolic dysfunction (less blood pumped with each heartbeat.)   If untreated the heart could lose its contrractility and cause systolic dysfunction.  

Reduce the heart's workload with an ACE inhibitor and/or beta blocker for high blood pressure can be helpful and slow any progression.  Time will tell if the heart walls can be reduced to normal size and normal filling capacity.  Often when the wall become stiff there has been a physical change of heart muscle cells and not reversible.  An athlete's heart has the same heart wall cell characteristic, but the physiology of the cells' change  is different and an athlete's heart can return to normal.

If you have an EF (50 to 70%, amount of blood pumped with each heartbeat), that would be a good indicator of little damage, also heart wall dimensions (left ventricle) from your test would also be helpful.
Comment
Cancel
Comment
Avatar universal
Comment
Comment
Comment
Post Comment
Your Answer
Avatar universal
Answer
Do you know how to answer? Tap here to leave your answer...
Answer
Answer
Post Answer
A
A
Do You Have Vascular Disease? Help Us With a User Study - $50 Gift Card!
Start by taking this 2-minute survey that will help us help people with vascular conditions like PAD.

If we’d like to interview you, we’ll reach out via e-mail. Those selected will receive a $50 gift card for their time.
Top Heart Disease Answerers
159619 tn?1318997813
Blank
Salt Lake City, UT
11548417 tn?1480750569
Blank
Netherlands
144586 tn?1284669764
Blank
Avatar universal
Blank
Avatar universal
Blank
Ireland
Blank
BloodPressure Tracker
Monitor Your Blood Pressure
Start Tracking Now
Blank
HeartRhythm Tracker
Track your Heart Condition
Start Tracking Now
Recent Activity
Avatar universal
Blank
Confuscio Confuscious Comment
12 hrs ago
406584 tn?1399591666
Blank
10356 commented on 45
19 hrs ago
1236893 tn?1486835591
Blank
gymdandee commented on The Unintended Conseq...
Feb 17
Heart Disease Community Resources