Aa
A
A
Close
Avatar_universal
Left Ventricular Hypertrophy + Lightheadedness, Pain,
Okay. I will try to make this as short as possible. I am a 27 yr. old male, 190 lbs. Last summer I had an "episode" in which the right side of my face and the inside of my mouth became numb. My heart rate increased to ~200 bpm, then depersonalization, chest pain, sweating, severe confusion, and both arms "shook." Afterward, I was so tired that I fell asleep immediately. The episode lasted about 5-10 min. When I woke, I went to ER and checked for infarction w/ neg. results. Went to a physician and was diagnosed with panic attacks. Now, for my concern: I began reasonable exercise regimen at the beginning of this year, and noticed, on more than one occasion, that I become extremely lightheaded, the world "dims," and my heartrate increases to 200 (no anxiety, though). I went to my physician and he placed a stethoscope over my left carotid and heard a "murmur" and said, "We need to get you to a cardiologist." Echo revealed "prominent" LVH with normal systolic diameter and good ejection fraction. After visiting with cardiologist, he said "LVH--don't worry about it," and prescribed Toprol XL: "Only take if your Holter monitor comes back with anamolies." Holter was fine. Doc says don't worry; other general physician is very worried about my "serious" pathologies and doesn't want me to exercise. I have two doctors in conflict about my problem. I am unsure what happened in the summer-- transient ischemic attack (mini-stroke) or just a panic attack? Does this all connect, and should I seek other medical opinions, given that, when I exercise, I feel like something's wrong?
Cancel
5 Answers
Page 1 of 1
84483_tn?1289941537
I also have mild LVH, 14mm of the IVS(interventricular septum), all other dimensions are within the normal limits Ef of 55%, saw a one the most respected cardiologist in Florida, told me just to keep my BP under control I used to have borderline/ mild hypertension since I was about 25, I'm now 42 apparently that is the cause, now my Bp usually averages around 110/70, On meds, atenolol, cozaar and HCTZ  even prolonged mild hypertension is not good and can cause LVH. I was  assured not worry and no restrictions whatsoever, I also posted a ? to the CCF heart forum and was basically given  the same answer. If I were you , I would make sure Hypertrophic Cardiomyopathy was ruled out, treat HTN if you have it exercise moderately.I also have connective tissue disease and suffer from dizziness and chest pain because of compressed nerves , not cardiac related at all. Good luck, hope you feel better soon.
Comment
Cancel
84483_tn?1289941537
Comment
Comment
Submit Comment
Avatar_universal
This is just my personal opinion but if I am dealing with my heart it is my cardiologist that I listen to. I do not listen to my regular GP in this area. In fact if my regular GP says something to contradict or change something that the cardiologist has done or said, I call my cardiologist and ask his office about it. When it comes to my heart, I leave it in the cardiologist's hands. That is his area of specialty. My GP is just that-a general practitioner, NO SPECIALTY.
Comment
Cancel
Avatar_universal
Comment
Comment
Submit Comment
Avatar_universal
Sorry-but one more comment here. Ask your cardiologist point blank about exercise!!!!! I would be very surprised if he told you not to do it!
Comment
Cancel
Avatar_universal
Comment
Comment
Submit Comment
Avatar_universal
My advice is to gather your test data and get to a good cardiac facility.  Sometimes it is tough for some docs to understand what happens with exercise & the heart, especially with valvular or electrical issues.  The docs don't have the data from when you're having the event--so how can they diagnose it?

Some use anxiety as an excuse waaaaaay to quickly.  Not everyone's having them--and I doubt during exercise you're going through an anxiety attack.  Cardiologists will vary on their opinions--each on has one like a car has a muffler--and not all are created equal.
Comment
Cancel
Avatar_universal
Comment
Comment
Submit Comment
Avatar_universal
Thank you for your input. This particular cardiologist is laconic and does not seem to care about my symptoms. And when I call, of course I have to talk to a nurse, not him. I don't want to be seen as a hyperchondriac by the doctor, but I ask him these questions and he seems not to acknowledge them. He will not tell me what the source of my hypertrophy is nor whether my exercise will exacerbate it. As for the lightheadness and the very peculiar depersonalization (like a piece of gauze over my eyes), he reponds: "Hm."

I should have mentioned that the echo and carotid doppler revealed no stenosis. Anyone have any ideas about the summer episode I mentioned and whether it corresponds somehow. Should I visit a neurologist to see if a transcranial doppler  or other test is necessary?

Thanks for all the time and help.
Comment
Cancel
Avatar_universal
Comment
Comment
Submit Comment
Your Answer
Avatar_universal
Answer
Know how to answer? Tap here to leave your answer...
Answer
Left Ventricular Hypertrophy + Lightheadedness, Pain,
Submit Answer
A
A
Top Heart Disease Answerers
976897_tn?1379171202
Blank
watford, United Kingdom
159619_tn?1318997813
Blank
Salt Lake City, UT
11548417_tn?1440481484
Blank
Netherlands
Avatar_universal
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
4522800_tn?1449169377
Blank
VICourageous commented on Help
3 mins ago
4522800_tn?1449169377
Blank
VICourageous commented on VICourageous's status
18 hrs ago
4522800_tn?1449169377
Blank
VICourageous New Mindset when the Sun is... Comment
20 hrs ago
Heart Disease Community Resources
RSS Expert Activity
233488_tn?1310696703
Blank
Marathon Running Done Over Many Yea...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
233488_tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
748543_tn?1443740527
Blank
TMJ/TMJ The Connection Between Teet...
01/15 by Hamidreza Nassery , DMD, FICOI, FAGD, FICCMOBlank
Top Heart Disease Answerers
976897_tn?1379171202
Blank
watford, United Kingdom
159619_tn?1318997813
Blank
Salt Lake City, UT
11548417_tn?1440481484
Blank
Netherlands
Avatar_universal
Blank
Avatar_universal
Blank
Avatar_universal
Blank
Ireland