I AM A 68 YEAR OLD WOMAN. SLIGHTLY OVER WEIGHT AND ACTIVE. MY BLOOD PRESSURE IS GOOD.
I HAVE RECENTLY BEEN DIAGNOSED WITH AN ENLARGED LEFT VENTRICLE BY AN ECHOCARADIOGRAM.
MY DOCTOR IS NOT CONCERNED AND DOES NOT RECOMMEND ANY TREATMENT OR SEEING A SPECIALIST. HE ONLY WANTS ME TO MONITOR MY BLOOD PRESSURE WHICH HAS ALWAYS BEEN GOOD. WE ARE SNOW BIRDS AND PLAN TO LEAVE FOR THE WINTER JUST AFTER CHRISTMAS. I'M CONCERNED ABOUT BEING SO FAR FROM MY DOCTOR AND HOSPITAL, JUST IN CASE I HAVE PROBLEMS. HE SAID TO GO AND NOT WORRY. I WILL MAIL HIM MY BLOOD PRESSURE READINGS ONCE A MONTH. AM I BEING OVERLY CONCERNED?
Do you know your EF %? Most likely it is normal if he didn’t put you on any medication, but I still would ask him! If you are active that’s great ,try to do a little more exercise, walk or some light but regular aerobic ,try to lose that little over weight. I know it is easier to say then do, but we must. Other thing watch your diet ,more then you ever did. Don’t go higher then 2000 mg sodium per day. Start calculate; don’t forget almost all food has sodium naturally. Maybe he pointed out that for you. He is right do not worry.:)……but be proactive..It is your life… Have a great holiday !
we all will have some enlargement of the left ventricle as we age. some, more enlargement than others. could be family history, could be weight. you do not mention any symptoms and you are active. to find out your ejection fraction % (ef%), ask the doctor what it was on the echo. also ask the degree of enlargment. also ask what the parameters are for normal ef% and enlargement.
As stated there is some expectation the heart will enlarge as we age. As we age vessels loses some elasticity causing the heart to work harder pumping against higher resistence. The heart compensates by increasing the size of the left ventricle.
I hade a DILATED LV several years ago together with heart failure (EF below 29%). Reduce the heart's workload with an ACE inhibitor and beta blocker
medication (relaxes vessels, increase contractility, slow the heart rate, etc.) enables the heart to reverse remodeling, sometimes not always.
There is an enlargement (remodeled) due to muscular growth caused by a viral disease, drugs, etc. As the heart grows the walls become thicker and impairs contraction as well as it may restrict an adequate filling of blood/oxygen.
Hi vienna, good to hear from you!. You are correct "all" is a broad brush. Many people with an unhealthy diet experience CAD and as one ages the heart size increases to compensate.
However, there are populations and groups with a heart-healthy diet and have favorable lipid levels and records indicate less heart disease. That information comes with some research by the medical community as well as other facts that justifies lowering cholesterol. Have happy New Year and take care.
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