LV Concentric Hypertrophy

[Anwer56]

I am 52 and have recently undergone ECG and Echo. ECG report suggested - possible Myocardial injury. Further Echo cardiogram report confirmed Mild LV concentric hypertrophy. Blood tests came out negative, which doctor said that it only suggests that myocardial injury has not occurred in last 10 days.
I have difficulty understanding this because I never really experienced any heart problem or chest pain of any significance. Furthermore, I continue to play squash and also played a day before these findings without any problem.
My question is can this develop into serious heart problem? What precautions can I take to prevent any such problem, if any?

Current medication is Aspirin and Lipitor (10mg) with recommendation of stress test which for travel reasons, I cannot take until next 3 weeks.

Family history exists. My father died at the age of 74 after 10 years of first heart attack. My uncle also died in his sixties with first heart attack.

Please advise
Thank you.

[Anwer56]

Thanks. I am not sure if I need any treatment. It seems like I have an athlete's heart. Amongst other sports, I have been playing squash on a regulqr basis, at least twice a week.

[Anwer56]

Thanks.

[kevk]

Hi,
Kenkieth explained it very well,  You want to stay on top of it.  It could get worse if it is left untreated.  

I have moderate concentric hypertrophy with Diastolic Dysfunction.

[erijon]

Kenkeith is correct, as usual. One thing I would add is that your family history is marginal. Family history is considered a father/brother that had early onset heart disease before the age of 55 or a mother/sister before the age of 60 so your family history is not as large a risk factor as it would be in someone who meets the above criteria.

In my case, both of my parents had bypass surgery well into their 70's and my cardiologst said it did not consititute a family history for me.

Just a thought............

Good luck,

Jon

[kenkeith]

For some insight, in hypertrophic left ventricle the walls of the organ are thickened and its capacity or volume is diminished and is termed concentric hypertrophy. Many well-conditioned athletes have concentric hypertrophy (left ventricle) and are capable of  generating greater forces and higher pressures, while the increased wall thickness maintains normal wall stress (did the echo show normal wall stress)?. If pathological i.e. heart muscle disease the ventricle becomes "stiff"  which can impair filling and lead to diastolic dysfunction (reduced filling capactity as space available for filling is reduced.

If you have an athlete's heart the stronger contractions pumps more blood/oxygen with each heart beat and as a result have a lower heart rate (less than 60) at rest.  If you had had a heart attack, an echo would show heart wall movement impairment.  Also, an echo estimates wall thickness and may not be an abnormal when considering a margin of error.